| NPI | 1760649412 |
|---|---|
| Doing Business As | AZALEA MANOR |
| Entity Type | Organization |
| Authorized Contact | PROSERFINO PATACSIL Administrator 407-282-0556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: FL AL4839) |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2008-05-20 |