# BLC GLENWOOD GARDENS SNF LH LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Brookdale Riverwalk SNF (CA)
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275697658
- **Authorized official:** ANNA F.C. MUNOZ (ASSISTANT SECRETARY)
- **Authorized official phone:** (414) 918-5443

## Contact information

- **Practice address:** 350 CALLOWAY DR, BUILDING 'C', BAKERSFIELD, CA 93312-2974
- **Practice address phone:** (661) 587-0182
- **Practice address fax:** (661) 587-8053
- **Mailing address:** 350 CALLOWAY DR, BUILDING 'C', BAKERSFIELD, CA 93312-2974
- **Mailing address phone:** (661) 587-0182
- **Mailing address fax:** (661) 587-8053

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 120000555 | CA | Yes |

## Other

- **Enumeration date:** 12/20/2006
- **Last updated:** 02/25/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | LTC55771G | — | CA |