Provider Demographics
NPI:1437776408
Name:REGO HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:REGO HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:UGOCHUKWU
Authorized Official - Middle Name:DESMOND
Authorized Official - Last Name:ANIGBOGU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-573-3577
Mailing Address - Street 1:2140 MCGEE RD STE C550C
Mailing Address - Street 2:
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30078-7006
Mailing Address - Country:US
Mailing Address - Phone:770-573-3577
Mailing Address - Fax:770-234-5115
Practice Address - Street 1:2140 MCGEE RD STE C550C
Practice Address - Street 2:
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30078-7006
Practice Address - Country:US
Practice Address - Phone:770-573-3577
Practice Address - Fax:770-234-5115
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-25
Last Update Date:2020-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care