NPI 1508094855

Azaria Personal Care Home LLC

Organisation Adult Care Home Facility Lawrenceville, GA

Practice location

Address: 1753 Azalea Dr, Lawrenceville, GA 30043-3264
Phone: (770) 682-3753

Authorised official

Name: Steluta Pertea
Title: Administrator
Phone: (770) 682-3753

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence 067013581 (GA)

Other Custodial Care Facility providers in Georgia →

Registry record

NPI: 1508094855
Entity type: Organization
NPI issued: 25 Jun 2009
Record last updated: 25 Jun 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.