| NPI | 1871646794 |
|---|---|
| Doing Business As | GLEN VALLEY CARE AND REHABILITATION CENTER |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS K MITTLEIDER President 770-619-0866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CO 0609) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-08-22 |