The Canopy of Azalea Grove

NPI #1275391815 in Valdosta, Georgia

Provider Information

NPI Number
1275391815
Entity Type
Organization
Organization Name
The Canopy of Azalea Grove
Primary Specialty
Assisted Living Facility
Enumeration Date
Mar 8, 2024
Last Updated
Mar 25, 2024

Practice Location

Address
6002 N OAK STREET EXT
State
Georgia
ZIP Code
31605-1188
Phone
(850) 712-5566

Authorized Official

Name
MARISA STRAIN, RN
Title
CCO
Phone
(850) 712-5566

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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