| NPI | 1801643838 |
|---|---|
| Former Legal Business Name | AZALEA MANOR |
| Entity Type | Organization |
| Authorized Contact | ANDERSON BANGIS MUNOZ CEO 818-687-3830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2024-05-06 |
| Last Update Date | 2024-05-11 |