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Organization
WINSLOW CONVALESCENT CENTER INC
Active
Organization
WINSLOW CONVALESCENT CENTER INC
Active
Other names
WINSLOW CAMPUS OF CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHAD THOMAS LEWIS (CONTROLLER)
(928) 289-4678
Entity
Organization
Contact information
Practice address
826 W DESMOND ST, WINSLOW, AZ 86047
(928) 289-4678
(928) 289-2893
Mailing address
826 W DESMOND STREET, WINSLOW, AZ 86047
(928) 289-4678
(928) 289-2893
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NCI 2284
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
488181
—
AZ
Enumeration date
04/09/2007
Last updated
10/17/2014
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