NPI | 1558306118 |
---|---|
Doing Business As | GLENWOOD MANOR |
Entity Type | Organization |
Authorized Contact | SANDRA BROWN President/Licensee Designee 313-387-9842 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health (Licence: MI AS820274095) |
Enumeration Date | 2006-06-18 |
Last Update Date | 2020-08-22 |