Organization
BANNON SPRINGS RANCH CHRISTAIN HEALTH CARE
Active
Organization
BANNON SPRINGS RANCH CHRISTAIN HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AUDREY WILSON (DIRECTOR)
(928) 532-0206
Entity
Organization
Contact information
Practice address
LOT 20 COUNTY RD #3398, VERNON, AZ 85940
(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
ALC-5813
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
045320
—
AZ
05
—
614538
—
AZ
05
—
643529
—
AZ
Enumeration date
02/28/2007
Last updated
08/22/2020
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