Organization
INFINIA AT SMITH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON ROBERTSON (OWNER)
(801) 296-5105
Entity
Organization
Contact information
Practice address
117 W 1ST ST, SMITH CENTER, KS 66967-2005
(785) 282-6696
(785) 282-3895
Mailing address
PO BOX 369, SMITH CENTER, KS 66967-0369
(785) 282-6696
(785) 282-3895
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N-092-001
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1041815301
—
KS
Enumeration date
06/28/2005
Last updated
06/12/2008
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