Azalea Place Adult Family Home
NPI #1386850899 in Great Falls, Montana
Provider Information
- NPI Number
- 1386850899
- Entity Type
- Organization
- Organization Name
- Azalea Place Adult Family Home
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- May 14, 2007
- Last Updated
- Aug 24, 2007
Practice Location
- Address
- 1 PROSPECT DR
- City
- Great Falls
- State
- Montana
- ZIP Code
- 59405-4119
- Phone
- (406) 452-4500
Authorized Official
- Name
- MR. ART D SIMONS
- Title
- ADMINISTRATOR
- Phone
- (406) 452-4500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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