Organization
AZALEA TRACE ASSISTED LIVING
Active
Organization
AZALEA TRACE ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTY CHO (ADMINISTRATOR)
(615) 739-5355
Entity
Organization
Contact information
Practice address
4107 GALLATIN PIKE, NASHVILLE, TN 37216-2109
(615) 739-5355
Mailing address
4107 GALLATIN PIKE, NASHVILLE, TN 37216-2109
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
TN
Other
Enumeration date
02/01/2013
Last updated
09/25/2015
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