Organization
CHRISTIAN CARE SURPRISE, INC.
Active
Parent organization
CHRISTIAN CARE SURPRISE, INC.
Other names
Fellowship Square Outpatient Rehabilitation
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHRISTIAN CARE SURPRISE, INC.
Authorized official
JAMI F GROSS (EXECUTIVE DIRECTOR)
(623) 300-9401
Entity
Organization
Contact information
Practice address
16640 N SARIVAL RD, SURPRISE, AZ 85388-2202
(623) 300-9401
(623) 432-0276
Mailing address
16477 W BELL RD, SURPRISE, AZ 85374-6603
(623) 300-9401
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
10/05/2022
Last updated
10/05/2022
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