# GLEN ROSE MEDICAL CENTER NURSING HOME, LLC

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

## Provider details

- **NPI number:** 1578571808
- **Authorized official:** MR. DAVID H. DENNIS (ADMINISTRATOR)
- **Authorized official phone:** (254) 897-1448

## Contact information

- **Practice address:** 1021 HOLDEN ST., GLEN ROSE, TX 76043-2099
- **Practice address phone:** (254) 897-1448
- **Practice address fax:** (254) 897-1486
- **Mailing address:** 1021 HOLDEN ST., GLEN ROSE, TX 76043-2099
- **Mailing address phone:** (254) 897-1448
- **Mailing address fax:** (254) 897-1486

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | — | — | — |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 08/03/2006
- **Last updated:** 01/13/2010