AZALEA GARDEN
NPI 1194150417
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Apex, NC
- Organization
- Residential Treatment Facility, Intellec...
About AZALEA GARDEN
This page provides the complete NPI Profile along with additional information for Azalea Garden, a provider established in Apex, North Carolina operating as a Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1194150417 assigned on September 2013. The practitioner's primary taxonomy code is 320600000X with license number MHL092659 (NC). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Yalonda Coleman (Administrative)
- NPI
- 1194150417 Verify this NPI
- Provider Name
- AZALEA GARDEN
- Entity Type
- Organization
- Location Address
- 413 CULVERT ST APEX, NC 27502
- Location Phone
- (919) 523-5767
- Mailing Address
- 413 CULVERT ST APEX, NC 27502
- Mailing Phone
- (919) 523-5767
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-05-2013
- Last Update Date
- 09-05-2013
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Taxonomy Code
- 320600000X
- Type
- Residential Treatment Facilities
- License No.
- MHL092659
- License State
- NC
- Taxonomy Description
- A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 320700000X | Residential Treatment Facilities | Residential Treatment Facility, Physical Disabilities | MHL092659 (NC) |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1194150417, enumerated as an "organization" on September 05, 2013.
The provider is located at 413 CULVERT ST APEX, NC 27502 and the phone number is (919) 523-5767.
Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.
