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Organization
IMMANUEL CARING MINISTRIES, INC.
Active
Organization
IMMANUEL CARING MINISTRIES, INC.
Active
Other names
Immanuel Campus of Care, Immanuel Campus of Care
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA ANN BYRUM-NIELSEN (DIRECTOR OF FINANCE)
(623) 977-8373
Entity
Organization
Contact information
Practice address
11301 N 99TH AVE, PEORIA, AZ 85345-5466
(623) 977-8373
(623) 974-4849
Mailing address
11301 N 99TH AVE, PEORIA, AZ 85345-5466
(623) 977-8373
(623) 974-4849
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
ALC4369
AZ
314000000X
Skilled Nursing Facility
Primary
NCI066
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
447591
—
AZ
Enumeration date
06/29/2005
Last updated
04/16/2026
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