NPI | 1780064808 |
---|---|
Former Legal Business Name | AZALEA HEALTH |
Doing Business As | AZA HEALTH |
Entity Type | Organization |
Authorized Contact | LAURA M. SPENCER President/CEO 386-328-0108 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2015-06-03 |
Last Update Date | 2021-06-29 |