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AZALEA REHAB SERVICES LLC NPI 1992062426


NPI Information

NPI: 1992062426
Provider Name: AZALEA REHAB SERVICES, LLC
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Organization
Address:
2301 BEMISS RD
VALDOSTA, GA
ZIP 31602
Phone: (229) 244-1667
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AZALEA REHAB SERVICES, LLC is a speech language pathologist in Valdosta, GA. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. AZALEA REHAB SERVICES, LLC NPI is 1992062426. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2301 BEMISS RD
VALDOSTA, GA
ZIP 31602-934
Phone: (229) 244-1667
Fax: (229) 244-8253

The provider's authorized official is Heather Delaney .
The authorized official title is Owner and has the following contact phone number (229) 300-9365.

The enumeration date for this NPI number is 4/22/2012 and was last updated on 12/20/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225100000XPhysical TherapistNo
2225X00000XOccupational TherapistNo
3235Z00000XSpeech-Language PathologistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1003107600CMEDICAIDGEORGIA
2003124189AMEDICAIDGEORGIA
3003110551CMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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