| NPI | 1104223528 |
|---|---|
| Doing Business As | GLENDALE GARDENS NURSING & REHAB |
| Entity Type | Organization |
| Authorized Contact | MITHIAS P DASAL President 573-481-9625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MO 042520) |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2014-12-01 |