Organization · Type 2 NPI
Azare
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Bolivar, MO
Practice location
4243 Highway D
Bolivar, MO 65613-9302
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | 14209362 (MO) |
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 1508915299
Azare's National Provider Identifier is 1508915299, issued on Jan 10, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Bolivar, MO. The record was last updated on Aug 22, 2020.