Azure, Llc

NPI 1073637674 - Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities - 320900000X

NPI Details
NPI 1073637674
Enumeration Date 03/19/2007
Last Updated 07/10/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name CYNTHIA ANN CYNTHIA
Position PRESIDENT
Phone (202) 248-3898
Fax (202) 248-4610
Practice Location
1490 BANGOR ST SE
WASHINGTON DC, 20020-4915, US
Phone (202) 248-3898
Fax (202) 248-4610
Business Location
5412 2ND ST NW
WASHINGTON DC, 20011-6624, US
Phone (202) 722-2791
Fax (202) 248-0429
Toxanomy
Taxonomy Code 320900000X
License State DO Columbia
License Number HFD12-0054
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According to our database, Azure, Llc NPI is 1073637674, taxonomy code is 320900000X and license number is HFD12-0054, license state is located at DO Columbia. Azure, Llc physically located at 1490 Bangor St Se, Washington DC, 20020-4915. NPI Number 1033115704 has the healthcare provider type.

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1073637674 NPI number is provided on an as is basis without warranty of any kind. 1073637674 is maintained by the National Plan & Provider Enumeration System. The contents of Azure, Llc are for informational purposes only.