Azalea Oaks Place

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL12460 Issued in FL

Legal business name

AZALEA OAKS PLACE

Practice address

902 Charlie Griffin Rd
Plant City, FL 33566-0512

Phone

(813) 704-6504

NPI assigned

Jan 8, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Dena Leigh Martin

Title

Office Manager and Assistant

Phone

(813) 704-6504

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1420675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420675200000",
    "number": "1326436692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 CHARLIE GRIFFIN RD",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335660512",
            "telephone_number": "813-704-6504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 CHARLIE GRIFFIN RD",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335660512",
            "telephone_number": "813-704-6504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZALEA OAKS PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-08",
        "last_updated": "2015-01-08",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "DENA",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "OFFICE MANAGER AND ASSISTANT",
        "authorized_official_telephone_number": "813-704-6504",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Plant City, FL
• Providers in Plant City, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.