Organization
WINSLOW CONVALESCENT CENTER INC
Active
Other names
WINSLOW CAMPUS OF CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHAD THOMAS LEWIS (CONTROLLER)
(928) 289-4678
Entity
Organization
Contact information
Practice address
826 W DESMOND ST, WINSLOW, AZ 86047
(928) 289-4678
(928) 289-2893
Mailing address
826 W DESMOND STREET, WINSLOW, AZ 86047
(928) 289-4678
(928) 289-2893
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NCI 2284
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
488181
—
AZ
Enumeration date
04/09/2007
Last updated
10/17/2014
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