| NPI | 1790842714 |
|---|---|
| Doing Business As | AZALEA TRAIL NURSING AND REHABILITATION CENTER |
| Entity Type | Organization |
| Authorized Contact | PATRICIA DIANE WARD President 254-580-9424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 118979) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2009-01-15 |