# WINSLOW CONVALESCENT CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** WINSLOW CAMPUS OF CARE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093838419
- **Authorized official:** MR. CHAD THOMAS LEWIS (CONTROLLER)
- **Authorized official phone:** (928) 289-4678

## Contact information

- **Practice address:** 826 W DESMOND ST, WINSLOW, AZ 86047
- **Practice address phone:** (928) 289-4678
- **Practice address fax:** (928) 289-2893
- **Mailing address:** 826 W DESMOND STREET, WINSLOW, AZ 86047
- **Mailing address phone:** (928) 289-4678
- **Mailing address fax:** (928) 289-2893

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NCI 2284 | AZ | Yes |

## Other

- **Enumeration date:** 04/09/2007
- **Last updated:** 10/17/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 488181 | — | AZ |