| NPI | 1801501093 |
|---|---|
| Other Name | AZALEA HOMES LLC |
| Entity Type | Organization |
| Authorized Contact | SIAMAH KANNEH Co Owner 763-273-0767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2023-01-23 |
| Last Update Date | 2023-01-23 |