# GLENWOOD ESTATE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Heatherwood Estate
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245336023
- **Authorized official:** LAURIE NELL HAMILTON (OFFICE MANAGER)
- **Authorized official phone:** (620) 331-0511

## Contact information

- **Practice address:** 614 S 8TH ST, INDEPENDENCE, KS 67301-4205
- **Practice address phone:** (620) 331-0511
- **Practice address fax:** (620) 331-0599
- **Mailing address:** 614 S 8TH ST, INDEPENDENCE, KS 67301-4205
- **Mailing address phone:** (620) 331-0511
- **Mailing address fax:** (620) 331-0599

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | N063008 | KS | Yes |

## Other

- **Enumeration date:** 09/16/2006
- **Last updated:** 11/04/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100110020A | — | KS |
| 01 | — | 1657 | BLUE CROSS BLUE SHIELD | KS |