Provider Demographics
NPI:1437224672
Name:REGAL HEALTH SOLUTIONS
Entity Type:Organization
Organization Name:REGAL HEALTH SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:FLORENCE
Authorized Official - Middle Name:TAYLOR
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-270-4903
Mailing Address - Street 1:14200 PURITAN ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48227-3323
Mailing Address - Country:US
Mailing Address - Phone:313-270-4903
Mailing Address - Fax:313-270-2896
Practice Address - Street 1:14200 PURITAN ST
Practice Address - Street 2:SUITE 200
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48227-3323
Practice Address - Country:US
Practice Address - Phone:313-270-4903
Practice Address - Fax:313-270-2896
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4903037Medicare ID - Type Unspecified77