# GLENWOOD HEALTH AND REHAB

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457742058
- **Authorized official:** PAULA A LEE NHA (CEO)
- **Authorized official phone:** (870) 356-3953

## Contact information

- **Practice address:** 615 MOUNTAIN VIEW RD, GLENWOOD, AR 71943-9061
- **Practice address phone:** (870) 356-3953
- **Practice address fax:** (870) 356-4314
- **Mailing address:** 615 MOUNTAIN VIEW RD, GLENWOOD, AR 71943-9061
- **Mailing address phone:** (870) 356-3953

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 964 | AR | Yes |

## Other

- **Enumeration date:** 02/18/2015
- **Last updated:** 02/18/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 045403 | — | AR |