Regal Legacy Group LLC

Organization Active NPI Adult Care Home Facility · Stoneville, NC

NPI 1023569738 · NPPES record last updated Oct 18, 2016

Key facts

NPI
1023569738
Entity type
Organization (NPI type 2)
Primary specialty
Adult Care Home Facility 311ZA0620X
Legal business name
REGAL LEGACY GROUP LLC
Practice address
5767 NC Highway 135
Stoneville, NC 27048-8477
Phone
(336) 587-4603
Fax
(866) 571-9651
NPI assigned
Oct 18, 2016
Organization subpart
No

Authorized official

Name
Ms. Juanita L Reid
Title
Chief Financial Officer
Phone
(336) 587-4603

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Moyer'S Assisted Living (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Yes

Addresses

Primary practice location

5767 NC Highway 135
Stoneville, NC 27048-8477

Mailing address

185 Crutchfield Rd
Reidsville, NC 27320-8261
Phone (336) 587-4603

Other names

  • Moyer's Assisted Living Doing business as

Other providers in Stoneville, NC

All providers in Stoneville, NC · Adult Care Home Facility in North Carolina

Sources for this page

Verify at the official NPI Registry.