# CHRISTIAN CARE NURSING CENTER INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356335632
- **Authorized official:** MR. JOHN S NORRIS (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (602) 443-5411

## Contact information

- **Practice address:** 11812 N 19TH AVE, PHOENIX, AZ 85029-3536
- **Practice address phone:** (602) 861-3241
- **Practice address fax:** (602) 943-6459
- **Mailing address:** PO BOX 83210, PHOENIX, AZ 85071-3210
- **Mailing address phone:** (602) 861-3241
- **Mailing address fax:** (602) 943-6459

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NCIR332 | AZ | Yes |

## Other

- **Enumeration date:** 09/01/2005
- **Last updated:** 01/08/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 040270 | — | AZ |