# CHINLE NURSING HOME

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

## Provider details

- **NPI number:** 1770753543
- **Authorized official:** WAYNE CLAW (ADMINISTRATOR)
- **Authorized official phone:** (928) 674-5216

## Contact information

- **Practice address:** HWY 191 N HOSP RD, CHINLE, AZ 86503
- **Practice address phone:** (928) 674-5216
- **Practice address fax:** (928) 674-5218
- **Mailing address:** PO BOX 910, CHINLE, AZ 86503-0910
- **Mailing address phone:** (928) 674-5216
- **Mailing address fax:** (928) 674-5218

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 35242 | AZ | Yes |

## Other

- **Enumeration date:** 03/07/2008
- **Last updated:** 04/20/2008