# INFINIA AT CAMP VERDE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134125750
- **Authorized official:** SCOTT ROBERTSON (OWNER)
- **Authorized official phone:** (801) 295-8000

## Contact information

- **Practice address:** 15 E HIGHWAY 260, CAMP VERDE, AZ 86322-6864
- **Practice address phone:** (928) 567-5253
- **Practice address fax:** (928) 567-3794
- **Mailing address:** 15 E HIGHWAY 260, CAMP VERDE, AZ 86322-6864
- **Mailing address phone:** (928) 567-5253
- **Mailing address fax:** (928) 567-3794

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NCI-366 | AZ | Yes |

## Other

- **Enumeration date:** 06/28/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 707375 | — | AZ |