Organization
AZALEA OPCO
Active
Other names
AZALEA GARDENS
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL RABINOWITZ (AUTHORIZED MANAGER)
(203) 233-5899
Entity
Organization
Contact information
Practice address
1701 MAYO ST, HOLLYWOOD, FL 33020-6542
(954) 921-5990
Mailing address
15390 ROCKAWAY BLVD, JAMAICA, NY 11434-3636
(203) 233-5899
(954) 921-8129
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10106
FL
Other
Enumeration date
10/13/2016
Last updated
10/13/2016
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