Organization
SAFEWAY ANGELS YOUTH FACILITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TIFFANY MATIK' BATTLE MA,AAS,BA (CEO/ADMINISTRATOR)
(480) 465-0403
Entity
Organization
Contact information
Practice address
231 S MISSION ABO LN, CASA GRANDE, AZ 85194-8549
(480) 465-0403
(520) 836-1043
Mailing address
231 S MISSION ABO LN, CASA GRANDE, AZ 85194-8549
(480) 465-0403
(520) 836-1043
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
12/20/2016
Last updated
12/20/2016
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