Organization
SAFEWAY HOUSE YOUTH FACILITY,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TIFFANY MATIK' BATTLE (CEO/ADMINISTRATOR)
(480) 465-0403
Entity
Organization
Contact information
Practice address
1469 E LAUREL DR, CASA GRANDE, AZ 85122-1775
(520) 518-5069
Mailing address
1469 E LAUREL DR, CASA GRANDE, AZ 85122-1775
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
03/07/2016
Last updated
03/07/2016
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