OrganizationActive
Immune Centered Health
NPI 1336831296 · Assisted Living Facility (Behavioral Disturbances) · Peoria, AZ
Provider details
- NPI number
- 1336831296
- Entity type
- Organization
- Primary specialty
- Assisted Living Facility (Behavioral Disturbances)Nursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Andrea Kidawski, Owner(561) 302-7706
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
23157 N 103rd Ln
Peoria, AZ 85383-2753
Phone: (623) 440-4838
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 5146
Lighthouse Point, FL 33074-5146
Registry dates
- Enumerated
- 2023-05-22
- Last updated
- 2023-05-22
- Certified
- 2023-05-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.