| NPI | 1417292251 |
|---|---|
| Doing Business As | AZALEA TRACE HOME HEALTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | JEANINE MELVIN Administrator/CEO 850-857-4975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: FL 299992943) |
| Enumeration Date | 2012-12-05 |
| Last Update Date | 2013-10-08 |