| Turtle Bay Cafe Of Casa Grande, Llc | |
|
109 E 2nd St Casa Grande AZ 85122-5212 | |
| (602) 369-0075 | |
| Not Available |
| Full Name | Turtle Bay Cafe Of Casa Grande, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 109 E 2nd St, Casa Grande, Arizona |
| Authorized Official Name and Position | Anthony Alberta (PRESIDENT, CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6023690075 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Turtle Bay Cafe Of Casa Grande, Llc 1340 S 4th Ave Yuma AZ 85364-4626 Ph: (602) 369-0075 | Turtle Bay Cafe Of Casa Grande, Llc 109 E 2nd St Casa Grande AZ 85122-5212 Ph: (602) 369-0075 |
| NPI Number | 1417345273 |
|---|---|
| Provider Enumeration Date | 01/02/2015 |
| Last Update Date | 02/28/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417345273 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Arizona) | Primary |
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