Organization · Type 2 NPI

Aza LLC

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Norfolk, VA

NPI number 1104346238 Active

Practice location

944 Pollard St
Norfolk, VA 23504-1932

Call (757) 581-1708 Map

Fax (410) 874-0997

Mailing address

2819 Myrtle Ave
Norfolk, VA 23504-4009

Specialties and licenses

Taxonomy	Code	License
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary	320900000X	2313-01-001 (VA)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1104346238

Aza LLC's National Provider Identifier is 1104346238, issued on Jun 20, 2017. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Norfolk, VA. The record was last updated on Jun 20, 2017.