| NPI | 1679116370 |
|---|---|
| Doing Business As | GLEN OAKS HEALTH AND REHABILITATION |
| Doing Business As | VIVIANT HEALTHCARE OF SHELBYVILLE |
| Entity Type | Organization |
| Authorized Contact | SAMUEL GOLDNER President 347-677-0448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2019-10-25 |
| Last Update Date | 2020-04-03 |