# CITADEL MOORESVILLE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Glenwood Rehabilitation and Nursing Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699313544
- **Authorized official:** BATYA GORELICK (VP OF ADMIN SERVICES)
- **Authorized official phone:** (704) 644-4797

## Contact information

- **Practice address:** 550 GLENWOOD DR, MOORESVILLE, NC 28115-2876
- **Practice address phone:** (704) 644-4797
- **Mailing address:** 440 SYLVAN AVE STE 240, ENGLEWOOD CLIFFS, NJ 07632-2700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 12/11/2019
- **Last updated:** 12/29/2022