Azalea Garden

NPI 1194150417 - Residential Treatment Facility, Physical Disabilities - 320700000X

NPI Details
NPI 1194150417
Enumeration Date 09/05/2013
Last Updated 09/05/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name YALONDA YALONDA
Position ADMINISTRATIVE
Phone (919) 523-5767
Fax
Practice Location
413 CULVERT ST
APEX NC, 27502-1731, US
Phone (919) 523-5767
Fax
Business Location
413 CULVERT ST
APEX NC, 27502-1731, US
Phone (919) 523-5767
Fax
Toxanomy
Taxonomy Code 320700000X
License State North Carolina
License Number MHL092659
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According to our database, Azalea Garden NPI is 1194150417, taxonomy code is 320700000X and license number is MHL092659, license state is located at North Carolina. Azalea Garden physically located at 413 Culvert St, Apex NC, 27502-1731. NPI Number 1033115704 has the healthcare provider type.

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1194150417 NPI number is provided on an as is basis without warranty of any kind. 1194150417 is maintained by the National Plan & Provider Enumeration System. The contents of Azalea Garden are for informational purposes only.