Organization
AZALEA REHAB SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER DELANEY CCC-SLP (OWNER)
(229) 300-9365
Entity
Organization
Contact information
Practice address
2301 BEMISS RD, VALDOSTA, GA 31602-1934
(229) 244-1667
(229) 244-8253
Mailing address
2301 BEMISS RD, VALDOSTA, GA 31602-1934
(229) 244-1667
(229) 244-8253
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003107600C
—
GA
05
—
003110551C
—
GA
05
—
003124189A
—
GA
Enumeration date
04/22/2012
Last updated
12/20/2021
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