Provider Demographics
NPI:1700482023
Name:REGAL HEALTHCARE SERVICES INC.
Entity Type:Organization
Organization Name:REGAL HEALTHCARE SERVICES INC.
Other - Org Name:REGAL HEALTHCARE SERVICES INC.
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:DIONNE
Authorized Official - Middle Name:
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-536-1560
Mailing Address - Street 1:11983 TAMIAMI TRL N STE 130
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34110-1605
Mailing Address - Country:US
Mailing Address - Phone:239-601-3126
Mailing Address - Fax:
Practice Address - Street 1:11983 TAMIAMI TRL N STE 130
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34110-1605
Practice Address - Country:US
Practice Address - Phone:239-601-3126
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-10
Last Update Date:2022-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Single Specialty