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The Canopy Of Azalea Grove
Assisted Living Facility in Valdosta, Georgia
NPI 1275391815

The Canopy Of Azalea Grove is an Assisted Living Facility based in Tallahassee, GA. The Canopy Of Azalea Grove practices in Valdosta, GA. The NPI Number for The Canopy Of Azalea Grove is 1275391815 and holds a License No. (Georgia).

The current practice location address for The Canopy Of Azalea Grove is 6002 N Oak Street Ext, Valdosta, GA and can be reached out via phone at 850-712-5566.

Location: 6002 N Oak Street Ext, Valdosta, GA, 32308-6805
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1275391815
Provider Name
The Canopy Of Azalea Grove
Credential
Provider Entity Type
Organization
Address
6002 N Oak Street Ext, Valdosta, GA, 32308-6805
Phone Number
850-712-5566
Fax Number
Provider Enumeration Date
03/08/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
6002 N Oak Street Ext
City
Valdosta
State
Georgia
Zip
31605-1188
Phone Number
850-712-5566
Fax Number
person
Provider Business Mailing Address Details
Address
6002 N Oak Street Ext
City
Valdosta
State
Georgia
Zip
31605-1188
Phone Number
850-712-5566
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
()
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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