Organization
CHRISTIAN HOUSING-MESA, INC.
Active
Organization
CHRISTIAN HOUSING-MESA, INC.
Active
Other names
Christian Care Manor IV
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE KLEVENBERG (ADMINISTRATIVE ASSISTANT)
(480) 654-1800
Entity
Organization
Contact information
Practice address
118 S 70TH ST, MESA, AZ 85208-1007
(480) 654-1800
(480) 218-2617
Mailing address
6945 E MAIN ST, MESA, AZ 85207-8206
(480) 654-1800
(480) 218-2617
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123160
—
AZ
Enumeration date
04/05/2022
Last updated
04/05/2022
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