| 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 |