Organization
ARIZONA CHRISTIAN CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY JORDAN DAVIS (OWNER)
(602) 451-5263
Entity
Organization
Contact information
Practice address
1002 W PONTIAC DR, PHOENIX, AZ 85027-5713
(602) 715-2716
(602) 715-2795
Mailing address
1002 W PONTIAC DR, PHOENIX, AZ 85027-5713
(602) 715-2716
(602) 715-2795
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
AL8928H
AZ
Other
Enumeration date
11/10/2013
Last updated
11/10/2013
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