Organization
AZARIA PERSONAL CARE HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STELUTA PERTEA CNA (ADMINISTRATOR)
(770) 682-3753
Entity
Organization
Contact information
Practice address
1753 AZALEA DR, LAWRENCEVILLE, GA 30043-3264
(770) 682-3753
Mailing address
1753 AZALEA DR, LAWRENCEVILLE, GA 30043-3264
(770) 682-3753
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
067013581
GA
Other
Enumeration date
06/25/2009
Last updated
06/25/2009
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