NPI 1912738774

Azely Fountain

Practitioner Homemaker Valdosta, GA

Practice location

Address: 520 Brookdale Dr, Valdosta, GA 31601-3609
Phone: (229) 561-8986

Registered specialties (2)

Homemaker Primary

Nursing Service Related Providers Taxonomy 376J00000X

Other Homemaker providers in Georgia →

Home Health Aide

Nursing Service Related Providers Taxonomy 374U00000X

Other Home Health Aide providers in Georgia →

Registry record

NPI: 1912738774
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Aug 2024
Record last updated: 12 Aug 2024

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.