# AZI HOUSE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Azi House one
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629305495
- **Authorized official:** MR. MICHAEL ATABONGNKENG FUANGUNYI (STATUTORY AGENT)
- **Authorized official phone:** (240) 643-0815

## Contact information

- **Practice address:** 6914 S BITTERCRESS RD, TUCSON, AZ 85756
- **Practice address phone:** (240) 643-0815
- **Mailing address:** 5986 S JAKEMP TRL, TUCSON, AZ 85747-6003
- **Mailing address phone:** (240) 643-0815

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 11/15/2009
- **Last updated:** 12/27/2019