# AZALEA MANOR

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Azalea Manor
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801643838
- **Authorized official:** MR. ANDERSON BANGIS MUNOZ (CEO)
- **Authorized official phone:** (818) 687-3830

## Contact information

- **Practice address:** 1759 WINDERMERE DR, LANCASTER, CA 93534-5319
- **Practice address phone:** (818) 687-3830
- **Practice address fax:** (661) 949-1304
- **Mailing address:** 1559 ROYWOOD DR, LANCASTER, CA 93535-4223
- **Mailing address phone:** (818) 687-3830
- **Mailing address fax:** (661) 949-1034

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 05/06/2024
- **Last updated:** 05/11/2024