# DESERET NURSING AND REHABILITATION AT ARMA

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

## Provider details

- **NPI number:** 1629268370
- **Authorized official:** JON ROBERTSON (OWNER)
- **Authorized official phone:** (801) 296-5105

## Contact information

- **Practice address:** 605. E. MELVIN ST., ARMA, KS 66712-0789
- **Practice address phone:** (620) 347-4103
- **Mailing address:** 605 E. MELVIN ST, ARMA, KS 66712-0789
- **Mailing address phone:** (620) 347-4103
- **Mailing address fax:** (620) 347-4018

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 07/30/2007
- **Last updated:** 07/30/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1447 | BLUE CROSS BLUE SHIELD | KS |
