NPI | 1083663991 |
---|---|
Doing Business As | PREMIER PLACE AT THE GLENVIEW |
Entity Type | Organization |
Authorized Contact | KENNETH WILLIAMS President & Treasurer 239-591-4235 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL SNF1175096) |
Enumeration Date | 2006-05-08 |
Last Update Date | 2019-03-14 |