# AZALEE HOMECARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033820717
- **Authorized official:** KAPPITOLA MELLS (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (762) 328-9846

## Contact information

- **Practice address:** 1905 GORDON HWY, AUGUSTA, GA 30909-4406
- **Practice address phone:** (762) 328-9846
- **Practice address fax:** (706) 751-6172
- **Mailing address:** PO BOX 9421, AUGUSTA, GA 30916-9421
- **Mailing address phone:** (762) 328-9846
- **Mailing address fax:** (706) 751-6172

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | — | Yes |

## Other

- **Enumeration date:** 12/13/2022
- **Last updated:** 07/18/2024