Organization
CHRISTIAN CARE NURSING CENTER, INC.
Active
Parent organization
CHRISTIAN CARE NURSING CENTER, INC
Other names
Christian Care Outpatient Rehab Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHRISTIAN CARE NURSING CENTER, INC
Authorized official
KATHY LOSCHEIDER MBA (EXECUTIVE DIRECTOR)
(602) 443-5439
Entity
Organization
Contact information
Practice address
11830 N 19TH AVE, SUITE 101, PHOENIX, AZ 85029-3519
(602) 443-5447
(602) 443-5449
Mailing address
11812 N 19TH AVE, PHOENIX, AZ 85029-3536
(602) 443-5400
(602) 443-5449
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
OTC4861
AZ
261QR0400X
Rehabilitation Clinic/Center
Primary
OTC4861
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTC4861
ADHS
AZ
Enumeration date
10/27/2014
Last updated
10/27/2014
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