# INFINIA AT OSWEGO

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

## Provider details

- **NPI number:** 1770580342
- **Authorized official:** MR. JON ROBERTSON (OWNER)
- **Authorized official phone:** (801) 296-5105

## Contact information

- **Practice address:** 1212 OHIO ST, OSWEGO, KS 67356-8000
- **Practice address phone:** (620) 795-4429
- **Practice address fax:** (620) 795-2748
- **Mailing address:** 1212 OHIO ST, OSWEGO, KS 67356-8000
- **Mailing address phone:** (620) 795-4429
- **Mailing address fax:** (620) 795-2748

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | N-050-004 | KS | Yes |

## Other

- **Enumeration date:** 06/28/2005
- **Last updated:** 07/08/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1041840201 | — | KS |