NPI 1003371444

Azarian Manor LLC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Fort Worth, TX

Practice location

Address: 10325 Pleasant Mound Dr, Fort Worth, TX 76108-4927
Phone: (817) 597-8891

Authorised official

Name: Trace Hamrick
Title: Assistant Director
Phone: (817) 597-8891

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Texas →

Registry record

NPI: 1003371444
Entity type: Organization
NPI issued: 8 Feb 2019
Record last updated: 8 Feb 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.