# AZALEA HOME CARE INC

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

## Provider details

- **NPI number:** 1407151764
- **Authorized official:** MR. MICHAEL BROWN (PRESIDENT/CEO)
- **Authorized official phone:** (770) 491-7122

## Contact information

- **Practice address:** 4187 CASTLE PINES CT, TUCKER, GA 30084-2602
- **Practice address phone:** (770) 491-7122
- **Practice address fax:** (404) 601-9233
- **Mailing address:** 4187 CASTLE PINES CT, TUCKER, GA 30084-2602

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 044-R-0698 | GA | Yes |

## Other

- **Enumeration date:** 01/18/2011
- **Last updated:** 05/31/2013