# INFINIA AT KENSINGTON

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

## Provider details

- **NPI number:** 1730186305
- **Authorized official:** JON ROBERTSON (OWNER)
- **Authorized official phone:** (801) 296-5105

## Contact information

- **Practice address:** 613 N MAIN ST, KENSINGTON, KS 66951-0248
- **Practice address phone:** (785) 476-2623
- **Practice address fax:** (785) 476-2620
- **Mailing address:** PO BOX 248, KENSINGTON, KS 66951-0248
- **Mailing address phone:** (785) 476-2623
- **Mailing address fax:** (785) 476-2620

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | N-092-002 | KS | Yes |

## Other

- **Enumeration date:** 06/28/2005
- **Last updated:** 06/12/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 104202440 | — | KS |