Organization · NPI-2

Azure, LLC

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · Washington, DC

NPI number1073637674
StatusActive
Last updated in NPPESJul 10, 2008

Details

NPI
1073637674
Entity type
Organization (NPI-2)
Legal business name
Azure, LLC
Organization subpart
No
Enumeration date
Mar 19, 2007
Last updated
Jul 10, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesHFD12-0054DCYes

Practice location

1490 Bangor St Se
Washington, DC 20020-4915

Phone 202-248-3898 · Fax 202-248-4610

Mailing address

5412 2nd St Nw
Washington, DC 20011-6624

Phone 202-722-2791 · Fax 202-248-0429

Authorized official

Cynthia Ann Warren
President
2023090497

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