| NPI | 1205824646 |
|---|---|
| Former Legal Business Name | GLENWOOD PARK RETIREMENT VILLAGE |
| Entity Type | Organization |
| Authorized Contact | DANIEL W. FARLEY CEO / President / Administrator 304-425-8128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WV 4) |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2020-08-22 |