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Organization
INFINIA AT OSWEGO
Active
Organization
INFINIA AT OSWEGO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JON ROBERTSON (OWNER)
(801) 296-5105
Entity
Organization
Contact information
Practice address
1212 OHIO ST, OSWEGO, KS 67356-8000
(620) 795-4429
(620) 795-2748
Mailing address
1212 OHIO ST, OSWEGO, KS 67356-8000
(620) 795-4429
(620) 795-2748
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N-050-004
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1041840201
—
KS
Enumeration date
06/28/2005
Last updated
07/08/2008
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