NPI 1245062439
Regis Legacy LLC
Practice location
- Address
- 21310 Plum Gate CT, Richmond, TX 77407-1425
- Phone
- (832) 613-4377
Authorised official
- Name
- Oluwasegun Isaac Oludiran
- Title
- President
- Phone
- (832) 613-4377
Registered specialties (3)
Foster Care Agency
Primary
Mental Illness Community Based Residential Treatment Facility
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Registry record
- NPI
- 1245062439
- Entity type
- Organization
- NPI issued
- 15 Aug 2024
- Record last updated
- 14 Oct 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.