# ARIZONA CHRISTIAN CARE, LLC

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

## Provider details

- **NPI number:** 1790114759
- **Authorized official:** TIMOTHY JORDAN DAVIS (OWNER)
- **Authorized official phone:** (602) 451-5263

## Contact information

- **Practice address:** 1002 W PONTIAC DR, PHOENIX, AZ 85027-5713
- **Practice address phone:** (602) 715-2716
- **Practice address fax:** (602) 715-2795
- **Mailing address:** 1002 W PONTIAC DR, PHOENIX, AZ 85027-5713
- **Mailing address phone:** (602) 715-2716
- **Mailing address fax:** (602) 715-2795

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | AL8928H | AZ | Yes |

## Other

- **Enumeration date:** 11/10/2013
- **Last updated:** 11/10/2013