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Aza Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Norfolk, Virginia
NPI 1104346238

Aza Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Norfolk, VA. Aza Llc practices in Norfolk, VA. The NPI Number for Aza Llc is 1104346238 and holds a License No. 2313-01-001 (Virginia).

The current practice location address for Aza Llc is 944 Pollard St, Norfolk, VA and can be reached out via phone at 757-581-1708 and via fax at 410-874-0997.

Location: 944 Pollard St, Norfolk, VA, 23504-4009
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104346238
Provider Name
Aza Llc
Credential
Provider Entity Type
Organization
Address
944 Pollard St, Norfolk, VA, 23504-4009
Phone Number
757-581-1708
Fax Number
410-874-0997
Provider Enumeration Date
06/20/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
944 Pollard St
City
Norfolk
State
Virginia
Zip
23504-1932
Phone Number
757-581-1708
Fax Number
410-874-0997
person
Provider Business Mailing Address Details
Address
944 Pollard St
City
Norfolk
State
Virginia
Zip
23504-1932
Phone Number
757-581-1708
Fax Number
410-874-0997
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
2313-01-001 (Virginia)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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