# HAVASU NURSING CENTER 2 INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Havasu Nursing Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831121813
- **Authorized official:** CLIFF SHIRRELL (VICE PRESIDENT)
- **Authorized official phone:** (573) 471-1276

## Contact information

- **Practice address:** 3576 KEARSAGE DR, LAKE HAVASU CITY, AZ 86406-9115
- **Practice address phone:** (928) 453-1500
- **Mailing address:** PO BOX 1210, SIKESTON, MO 63801-1210
- **Mailing address phone:** (573) 471-1276
- **Mailing address fax:** (573) 472-8504

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NC1-355 | AZ | Yes |

## Other

- **Enumeration date:** 07/07/2006
- **Last updated:** 08/31/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 041682 | — | AZ |