| NPI | 1083045124 |
|---|---|
| Doing Business As | REGINA ASSISTED LIVING |
| Entity Type | Organization |
| Authorized Contact | DAVE VANDERGON Executive Director 651-480-4333 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2013-11-27 |
| Last Update Date | 2020-04-16 |