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Organization

AZI HOUSE LLC

Active
Other names
Azi House one
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL ATABONGNKENG FUANGUNYI (STATUTORY AGENT)
(240) 643-0815
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary

Other

Enumeration date
11/15/2009
Last updated
12/27/2019
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