Organization
CHRISTIAN CARE NURSING CENTER INC.
Active
Other names
Christian Care Home Health Agency
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHY LOSCHEIDER MBA (EXECUTIVE DIRECTOR)
(602) 443-5439
Entity
Organization
Contact information
Practice address
11830 N. 19TH AVE., PHOENIX, AZ 85029
(602) 443-5447
(602) 424-9447
Mailing address
11830 N. 19TH AVE, #101, PHOENIX, AZ 85029
(602) 443-5447
(602) 424-9447
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA4807
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HHA4807
AZ DEPT HEALTH SERVICES
AZ
Enumeration date
07/22/2010
Last updated
09/20/2010
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