NPI | 1134760002 |
---|---|
Doing Business As | REGENCY COVE |
Entity Type | Organization |
Authorized Contact | JEFFREY ENGELKE President 512-916-1632 |
Organization Subpart ? | Yes |
Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
Enumeration Date | 2019-10-02 |
Last Update Date | 2019-12-23 |