| NPI | 1124019096 |
|---|---|
| Doing Business As | GLEN OAKS NURSING CENTER |
| Entity Type | Organization |
| Authorized Contact | TERESA GAIL CRABTREE Administrator 601-947-2783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2020-08-22 |