IMMANUEL CARING MINISTRIES, INC.
Assisted Living Facility
Peoria, Arizona
Provider NPI: 1265439889
Organization Information:Organization Name: IMMANUEL CARING MINISTRIES, INC.
Practice Location:
11301 N 99TH AVE PEORIA, AZ 85345 US
Tel: 623-977-8373 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
11301 N 99TH AVE PEORIA, AZ 85345 US
Tel: 623-977-8373 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | AZ | ALC4369 |
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | AZ | NCI066 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
447591 | AZ | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin