OrganizationAzalea Health Services Texas LlcSocial WorkerBehavioral Health & Social Service ProvidersPractice Address725 Brentwood Blvd, Lafayette, LA 70503-4405(337) 393-0678PECOS EnrollmentBased on the most recent information from CMS, provider Azalea Health Services Texas Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:50 AM.Profile DetailsProvider ID1326871807Provider TypeOrganizationFull NameAzalea Health Services Texas LlcSubpartNoEnumeration Date8/21/2024Last Updated8/21/2024Contact InformationPractice LocationPractice Address725 Brentwood Blvd, Lafayette, LA 70503-4405Phone(337) 393-0678Fax(337) 279-2705Mailing LocationMailing Address725 Brentwood Blvd, Lafayette, LA 70503-4405Phone(337) 393-0678Fax(337) 279-2705Authorized OfficialNameMaggard, Kenneth (President)Phone(337) 393-0678Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer