| NPI | 1932190824 |
|---|---|
| Former Legal Business Name | GLENCARE PRIVATE DUTY |
| Entity Type | Organization |
| Authorized Contact | ANNETTE M HENEGHAN Administrator 866-676-3931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2011-06-01 |