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Organization

CHRISTIAN CARE NURSING CENTER, INC.

Active
Other names
Historic Mesa Outpatient Rehab Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KATHY LOSCHEIDER MBA (EXECUTIVE DIRECTOR)
(602) 443-5439
Entity
Organization

Contact information

Practice address
155 W BROWN RD, MESA, AZ 85201-3427
(480) 290-7952
(480) 398-2727
Mailing address
PO BOX 83210, PHOENIX, AZ 85071-3210
(602) 443-5439
(602) 443-5499

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
OTC5456
AZ
261QR0400X
Rehabilitation Clinic/Center
OTC5456
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OTC5456
ADHS LICENSE
AZ
Enumeration date
11/04/2014
Last updated
11/04/2014
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