Organization
THE LINGENFELTER CENTER, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY ELSBURY RN, BSN, MA (CEO)
(928) 718-4852
Entity
Organization
Contact information
Practice address
1099 SUNRISE AVE, KINGMAN, AZ 86401
(928) 718-4852
(928) 718-4856
Mailing address
1099 SUNRISE AVE, KINGMAN, AZ 86401-6825
(928) 718-4852
(928) 718-4856
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NCI 2635
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
79-1873
—
AZ
Enumeration date
07/26/2005
Last updated
07/24/2018
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