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NPI Code Detail

MEDICARE: TLGS NETWORK LLC

MEDICARE: TLGS NETWORK LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251B00000XCase Management AgencyAZ
2251E00000XHome Health AgencyAZ

General Provider Information

NPI Number : 1033114442
Entity Type Code : Organization
Provider Name (Legal Business Name) : TLGS NETWORK LLC
Provider Business Mailing Address
First Line : 1855 W BASELINE RD
Second Line : STE 260
City : MESA
State : AZ
Zip : 85202-9004
Country : US
Telephone Number : 480-755-7500
Fax Number : 480-756-8610
Provider Business Practice Location Address
First Line : 1855 W BASELINE RD
Second Line : STE 260
City : MESA
State : AZ
Zip : 85202-9004
Country : US
Telephone Number : 480-755-7500
Fax Number : 480-756-8610
Authorized Official
Title or Position : CEO/PARTNER
Name : MR. ROBERT T. WOLTZ
Credential :
Telephone Number : 480-755-7500
Provider Enumeration Date : 06/14/2005
Last Update Date : 09/11/2025

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Directions to “TLGS NETWORK LLC ” Practice Location

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