NPI | 1831121813 |
---|---|
Doing Business As | HAVASU NURSING CENTER |
Entity Type | Organization |
Authorized Contact | CLIFF SHIRRELL Vice President 573-471-1276 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AZ NC1-355) |
Enumeration Date | 2006-07-07 |
Last Update Date | 2017-08-31 |