Azare

NPI #1508915299 in Bolivar, Missouri

Provider Information

NPI Number: 1508915299
Entity Type: Organization
Organization Name: Azare
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jan 10, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 4243 HIGHWAY D
City: Bolivar
State: Missouri
ZIP Code: 65613-9302
Phone: (417) 777-4948

Authorized Official

Name: LINDA L MASHBURN
Title: OWNER
Phone: (417) 777-4948

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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