# ANASAZI HEALTH CARE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lake Hills Inn
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063411981
- **Authorized official:** MS. PAULA MITCHELL (ADMINISTRATOR)
- **Authorized official phone:** (928) 505-5552

## Contact information

- **Practice address:** 2781 OSBORN DR, LAKE HAVASU CITY, AZ 86406-8629
- **Practice address phone:** (928) 505-5552
- **Practice address fax:** (928) 505-2660
- **Mailing address:** 2781 OSBORN DR, LAKE HAVASU CITY, AZ 86406-8629
- **Mailing address phone:** (928) 505-5552
- **Mailing address fax:** (928) 505-2660

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NCI1209 | AZ | Yes |

## Other

- **Enumeration date:** 07/21/2005
- **Last updated:** 06/17/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 371899 | — | AZ |