OrganizationActive
Regenerise Health LLC
NPI 1154016160 · Health Service Clinic/Center · Yalesville, CT
Provider details
- NPI number
- 1154016160
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Authurine Hannam-Davis, Aprn(860) 994-7339
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
300 Church St Ste 103
Yalesville, CT 06492-2253
Phone: (860) 994-7339
Approximate (ZIP-level) locationGet directions
Mailing address
300 Church St Ste 103
Yalesville, CT 06492-2253
Registry dates
- Enumerated
- 2023-04-06
- Last updated
- 2023-07-16
- Certified
- 2023-07-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.