| NPI | 1033510961 |
|---|---|
| Doing Business As | GLENNDALE MEDICAL CARE |
| Entity Type | Organization |
| Authorized Contact | CONNIE FARMER Billing Manager 606-598-5104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2021-01-13 |