Organization
AZAPH RESIDENTIAL HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLIVIER GASORE (OWNER)
(325) 668-9523
Entity
Organization
Contact information
Practice address
3516 ALPINE AUTUMN DRIVE, AUSTIN, TX 78744
(325) 668-9523
Mailing address
3516 ALPINE AUTUMN DRIVE, AUSTIN, TX 78744
(325) 668-9523
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
364SL0600X
Long-Term Care Clinical Nurse Specialist
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
11/28/2022
Last updated
09/13/2023
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