NPI | 1437424231 |
---|---|
Doing Business As | GLENWOOD GARDENS |
Entity Type | Organization |
Authorized Contact | BRIDGETTE WIEFLING President/CEO 585-423-2878 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: NY 2701211R) |
Enumeration Date | 2012-03-13 |
Last Update Date | 2012-03-19 |