Azare
Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Bolivar, MO
NPI 1508915299 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1508915299
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
- License
- 14209362 (MO)
- Legal business name
- AZARE
- Practice address
- 4243 Highway D
Bolivar, MO 65613-9302 - Phone
- (417) 777-4948
- NPI assigned
- Jan 10, 2007
- Organization subpart
- No
Authorized official
- Name
- Linda L Mashburn
- Title
- Owner
- Phone
- (417) 777-4948
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | 14209362 | MO | Yes |
Addresses
Primary practice location
4243 Highway D
Bolivar, MO 65613-9302
Mailing address
4243 Highway D
Bolivar, MO 65613-9302
Phone (417) 777-4948
Other providers in Bolivar, MO
- Nadia Ariqat
- Hannah Ashlock
- Associates in Medicine
- Associates in Medicine, Inc
- Stephanie Marie Aug
- Jason M Bailey
- Harcharan Bains
- Laci C Banks
- Deanna Lynn Barklage
- Brandon Barnes
All providers in Bolivar, MO · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.