Organization
AZALEA CITY MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE KING (OWNERPRESIDENT)
(251) 287-7067
Entity
Organization
Contact information
Practice address
3046 DAUPHIN ISLAND PKWY, MOBILE, AL 36605-3835
(251) 287-7067
(251) 461-6439
Mailing address
3046 DAUPHIN ISLAND PKWY, MOBILE, AL 36605-3835
(251) 287-7067
(251) 461-6439
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
111612
AL
251F00000X
Home Infusion Agency
111612
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100003585
—
AL
01
—
51516978
BLUECROSSBLUE
AL
Enumeration date
04/26/2007
Last updated
10/31/2014
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