| NPI | 1073564068 |
|---|---|
| Doing Business As | GLENWOOD CARE AND REHABILITATION CENTER |
| Entity Type | Organization |
| Authorized Contact | GEORGE V HAGER President Director 505-821-3355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MA 3920) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MA 3920) |
| 310500000X Intermediate Care Facility, Mental Illness (Licence: MA 3920) | |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2013-02-12 |