NPI 1073637674

Azure, LLC

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

Practice location

Address: 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

Authorised official

Name: Cynthia Ann Warren
Title: President
Phone: (202) 309-0497

Registered specialties

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

Residential Treatment Facilities Taxonomy 320900000X Licence HFD12-0054 (DC)

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

Registry record

NPI: 1073637674
Entity type: Organization
NPI issued: 19 Mar 2007
Record last updated: 10 Jul 2008

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.