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NPI Code Detail

MEDICARE: CASA DE FRANCIS, LLC

MEDICARE: CASA DE FRANCIS, 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
1320600000XIntellectual and/or Developmental Disabilities Residential Treatment Facility
2320700000XPhysical Disabilities Residential Treatment Facility
3322D00000XEmotionally Disturbed Childrens' Residential Treatment Facility
4101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1376029793
Entity Type Code : Organization
Provider Name (Legal Business Name) : CASA DE FRANCIS, LLC
Provider Business Mailing Address
First Line : 1274 W BEACON CT
Second Line :
City : CASA GRANDE
State : AZ
Zip : 85122-6667
Country : US
Telephone Number : 623-215-5138
Fax Number :
Provider Business Practice Location Address
First Line : 1274 W BEACON CT
Second Line :
City : CASA GRANDE
State : AZ
Zip : 85122-6667
Country : US
Telephone Number : 623-215-5138
Fax Number :
Authorized Official
Title or Position : CEO
Name : JAMES FRANCIS
Credential :
Telephone Number : 520-215-4900
Provider Enumeration Date : 07/18/2018
Last Update Date : 12/15/2020

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Directions to “CASA DE FRANCIS, LLC ” Practice Location

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