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Organization

BANNON SPRINGS RANCH CHRISTAIN HEALTH CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AUDREY WILSON (DIRECTOR)
(928) 532-0206
Entity
Organization

Contact information

Practice address
LOT 20 COUNTY RD #3398, VERNON, AZ 85924
(928) 532-0206
(877) 311-9315
Mailing address
PO BOX 485, VERNON, AZ 85940-0485
(928) 532-0206
(877) 311-9315

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALH-5775
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
614538
AZ
Enumeration date
02/28/2007
Last updated
08/22/2020
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