| NPI | 1568521094 |
|---|---|
| Doing Business As | AZALEA TRAILS |
| Entity Type | Organization |
| Authorized Contact | PATRICIA DIANE WARD CEO President 254-580-9424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 118979) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2020-08-22 |