Organization
THE CANOPY OF AZALEA GROVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARISA STRAIN RN (CCO)
(850) 712-5566
Entity
Organization
Contact information
Practice address
6002 N OAK STREET EXT, VALDOSTA, GA 31605-1188
(850) 712-5566
Mailing address
2573 BARRINGTON CIR, TALLAHASSEE, FL 32308-6805
(850) 712-5566
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
03/08/2024
Last updated
03/25/2024
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