Organization
AZALEA HOMES
Active
Other names
Azalea Homes LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SIAMAH KANNEH (CO-OWNER)
(763) 273-0767
Entity
Organization
Contact information
Practice address
5724 PENNSYLVANIA AVE N, CRYSTAL, MN 55428-3328
(763) 321-4417
Mailing address
5724 PENNSYLVANIA AVE N, CRYSTAL, MN 55428
(763) 321-4417
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
310400000X
Assisted Living Facility
—
—
Other
Enumeration date
01/23/2023
Last updated
06/11/2026
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