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Organization

CHINLE NURSING HOME

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WAYNE CLAW (ADMINISTRATOR)
(928) 674-5216
Entity
Organization

Contact information

Practice address
HWY 191 N HOSP RD, CHINLE, AZ 86503
(928) 674-5216
(928) 674-5218
Mailing address
PO BOX 910, CHINLE, AZ 86503-0910
(928) 674-5216
(928) 674-5218

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
35242
AZ

Other

Enumeration date
03/07/2008
Last updated
04/20/2008
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