Organization
ANASAZI HEALTH CARE, INC.
Active
Other names
Lake Hills Inn
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAULA MITCHELL (ADMINISTRATOR)
(928) 505-5552
Entity
Organization
Contact information
Practice address
2781 OSBORN DR, LAKE HAVASU CITY, AZ 86406-8629
(928) 505-5552
(928) 505-2660
Mailing address
2781 OSBORN DR, LAKE HAVASU CITY, AZ 86406-8629
(928) 505-5552
(928) 505-2660
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NCI1209
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
371899
—
AZ
Enumeration date
07/21/2005
Last updated
06/17/2015
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