Organization
PAYSON UNITED MEDICAL INVESTORS LLC
Active
Other names
Payson Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY S CROSS (ASSISTANT SECRETARY)
(423) 473-5867
Entity
Organization
Contact information
Practice address
107 E LONE PINE ST, PAYSON, AZ 85541-5558
(928) 474-6896
(928) 474-6997
Mailing address
3001 KEITH ST NW, CLEVELAND, TN 37312-3713
(423) 473-5751
(423) 339-8342
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
OTC-0640
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
040121
—
AZ
Enumeration date
05/03/2006
Last updated
07/30/2010
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