Organization
AZURE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD MACK (MEMBER)
(303) 817-2848
Entity
Organization
Contact information
Practice address
413 S COUNTY ROAD 21 STE P, BERTHOUD, CO 80513-9423
(303) 817-2848
Mailing address
413 S COUNTY ROAD 21 STE P, BERTHOUD, CO 80513-9423
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253J00000X
Foster Care Agency
—
—
311ZA0620X
Adult Care Home Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
01/13/2021
Last updated
01/13/2021
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