Organization
AZALEA OAKS PLACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DENA LEIGH MARTIN (OFFICE MANAGER AND ASSISTANT)
(813) 704-6504
Entity
Organization
Contact information
Practice address
902 CHARLIE GRIFFIN RD, PLANT CITY, FL 33566-0512
(813) 704-6504
Mailing address
902 CHARLIE GRIFFIN RD, PLANT CITY, FL 33566-0512
(813) 704-6504
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12460
FL
Other
Enumeration date
01/08/2015
Last updated
01/08/2015
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