Azely Fountain
Azely Fountain is a Home Health Aide in Valdosta, Georgia. Registered with an NPI since 2024.
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
520 Brookdale DrValdosta, GA 31601-3609
Phone: (229) 561-8986
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Homemaker (primary) | Taxonomy 376J00000X |
|---|---|
| Home Health Aide | Taxonomy 374U00000X |
Record details
| NPI number | 1912738774 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 12, 2024 |
| Last updated in NPPES | August 12, 2024 |
| Certification date | August 12, 2024 |
| Mailing address | 520 Brookdale Dr, Valdosta, GA 31601-3609 |
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