NPI 1104346238

Aza LLC

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

Practice location

Address: 944 Pollard St, Norfolk, VA 23504-1932
Phone: (757) 581-1708
Fax: (410) 874-0997
Mailing address: 2819 Myrtle Ave, Norfolk, VA 23504-4009

Authorised official

Name: Sharon Belin
Title: Ceo
Phone: (757) 581-1708

Registered specialties

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

Residential Treatment Facilities Taxonomy 320900000X Licence 2313-01-001 (VA)

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

Registry record

NPI: 1104346238
Entity type: Organization
NPI issued: 20 Jun 2017
Record last updated: 20 Jun 2017

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.