NPI | 1740328269 |
---|---|
Doing Business As | GLENDALE UPTOWN HOME |
Entity Type | Organization |
Authorized Contact | STACEY PAUL ROGERS Chief Financial Officer 502-429-8062 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: PA 210102) |
Enumeration Date | 2007-02-05 |
Last Update Date | 2014-12-30 |