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Organization
AZALEA HOME CARE INC
Active
Organization
AZALEA HOME CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL BROWN (PRESIDENT/CEO)
(770) 491-7122
Entity
Organization
Contact information
Practice address
4187 CASTLE PINES CT, TUCKER, GA 30084-2602
(770) 491-7122
(404) 601-9233
Mailing address
4187 CASTLE PINES CT, TUCKER, GA 30084-2602
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
044-R-0698
GA
Other
Enumeration date
01/18/2011
Last updated
05/31/2013
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