Organization
AZALEALAND NURSING HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES LEWIS VONWALDNER (PRESIDENT)
(912) 354-2752
Entity
Organization
Contact information
Practice address
2040 COLONIAL DR, SAVANNAH, GA 31406-2226
(912) 354-2752
(912) 352-2038
Mailing address
2040 COLONIAL DR, SAVANNAH, GA 31406-2226
(912) 354-2752
(912) 352-2038
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
10251060
GA
Other
Enumeration date
03/02/2007
Last updated
08/22/2020
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