# GLENWOOD CHRISTIAN NURSING HOME INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Metron of Lamont
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538172820
- **Authorized official:** MR. J LINDSEY DOOD (EXECUTIVE VICE PRESIDENT / CFO)
- **Authorized official phone:** (616) 975-5287

## Contact information

- **Practice address:** 13030 COMMERCIAL ST, LAMONT, MI 49430-9999
- **Practice address phone:** (616) 677-1243
- **Practice address fax:** (616) 677-1460
- **Mailing address:** 4630 PLAINFIELD AVENUE NE, SUITE 100, GRAND RAPIDS, MI 49546
- **Mailing address phone:** (616) 957-3957
- **Mailing address fax:** (616) 957-1556

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 704040 | MI | Yes |

## Other

- **Enumeration date:** 08/15/2006
- **Last updated:** 12/10/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2155291 | — | MI |
| 01 | — | 9763 | BLUE CROSS | MI |