| NPI | 1851790844 |
|---|---|
| Doing Business As | GLENWOOD CENTER |
| Entity Type | Organization |
| Authorized Contact | MICHAEL T. BERG Assistant Secretary 505-468-4752 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AL 16107) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: AL 0000001) |
| Enumeration Date | 2014-08-15 |
| Last Update Date | 2021-12-10 |