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Organization

INFINIA AT SHOWLOW

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SCOTT ROBERTSON (OWNER)
(801) 295-8000
Entity
Organization

Contact information

Practice address
2401 E HUNT ST, SHOW LOW, AZ 85901-7920
(928) 537-5333
(928) 537-1762
Mailing address
2401 E HUNT ST, SHOW LOW, AZ 85901-7920
(928) 537-5333
(928) 537-1762

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NCI-373
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
707458
AZ
Enumeration date
06/28/2005
Last updated
08/22/2020
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