Organization
AZALEA GARDEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEVIN CHANDLER LEES (OWNER/ADMINISTRATOR)
(702) 994-6699
Entity
Organization
Contact information
Practice address
3300 N PIONEER WAY, LAS VEGAS, NV 89129-6206
(702) 994-6699
Mailing address
3300 N PIONEER WAY, LAS VEGAS, NV 89129-6206
(702) 994-6699
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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