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Organization
AZALEE HOMECARE LLC
Active
Organization
AZALEE HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAPPITOLA MELLS (AUTHORIZED OFFICIAL)
(762) 328-9846
Entity
Organization
Contact information
Practice address
1905 GORDON HWY, AUGUSTA, GA 30909-4406
(762) 328-9846
(706) 751-6172
Mailing address
PO BOX 9421, AUGUSTA, GA 30916-9421
(762) 328-9846
(706) 751-6172
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/13/2022
Last updated
07/18/2024
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