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Organization

AZALEA HOME CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JONOVAN STAFFORD (OWNER)
(813) 862-1914
Entity
Organization

Contact information

Practice address
400 N ASHLEY DR STE 2653, TAMPA, FL 33602-4300
(813) 862-1914
Mailing address
7624 TANGLE RUSH DR, GIBSONTON, FL 33534-5311
(813) 862-1914

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
10/13/2020
Last updated
10/13/2020
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