| NPI | 1427239946 |
|---|---|
| Doing Business As | GLENDALE CENTER |
| Entity Type | Organization |
| Authorized Contact | MICHAEL T BERG Corp Officer 505-468-4742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CT 2371) |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2020-11-06 |