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Organization

IMMUNE CENTERED HEALTH

Active
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Organization

IMMUNE CENTERED HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANDREA KIDAWSKI (OWNER)
(561) 302-7706
Entity
Organization

Contact information

Practice address
23157 N 103RD LN, PEORIA, AZ 85383-2753
(623) 440-4838
Mailing address
PO BOX 5146, LIGHTHOUSE POINT, FL 33074-5146
(561) 302-7706

Taxonomy

Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary

Other

Enumeration date
05/22/2023
Last updated
05/22/2023
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