| NPI | 1174515704 |
|---|---|
| Former Legal Business Name | GLENWOOD CONVALESCENT CENTER, INC. |
| Entity Type | Organization |
| Authorized Contact | DWIGHT M. SPEARMAN President 256-766-8963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AL 5508) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: AL 10579) |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2012-01-09 |