# AZARIA PERSONAL CARE HOME LLC

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

## Provider details

- **NPI number:** 1508094855
- **Authorized official:** MRS. STELUTA PERTEA CNA (ADMINISTRATOR)
- **Authorized official phone:** (770) 682-3753

## Contact information

- **Practice address:** 1753 AZALEA DR, LAWRENCEVILLE, GA 30043-3264
- **Practice address phone:** (770) 682-3753
- **Mailing address:** 1753 AZALEA DR, LAWRENCEVILLE, GA 30043-3264
- **Mailing address phone:** (770) 682-3753

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 067013581 | GA | Yes |

## Other

- **Enumeration date:** 06/25/2009
- **Last updated:** 06/25/2009