Infinia at Oswego

Organization Active NPI Skilled Nursing Facility · Oswego, KS

NPI 1770580342 · NPPES record last updated Jul 8, 2008

Key facts

NPI
1770580342
Entity type
Organization (NPI type 2)
Primary specialty
Skilled Nursing Facility 314000000X
License
N-050-004 (KS)
Legal business name
INFINIA AT OSWEGO
Practice address
1212 Ohio St
Oswego, KS 67356-8000
Phone
(620) 795-4429
Fax
(620) 795-2748
NPI assigned
Jun 28, 2005
Organization subpart
No

Authorized official

Name
Mr. Jon Robertson
Title
Owner
Phone
(801) 296-5105

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X N-050-004 KS Yes

Addresses

Primary practice location

1212 Ohio St
Oswego, KS 67356-8000

Mailing address

1212 Ohio St
Oswego, KS 67356-8000
Phone (620) 795-4429

Other identifiers

IdentifierTypeStateIssuer
1041840201MedicaidKS

Other providers in Oswego, KS

All providers in Oswego, KS · Skilled Nursing Facility in Kansas

Sources for this page

Verify at the official NPI Registry.