| NPI | 1316323074 |
|---|---|
| Doing Business As | GLEN RIDGE NURSING CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | MICHAEL T BERG Assistant Secretary 505-468-4742 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MA 00000) |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2019-03-19 |