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Organization

CHS - GLENWELL, INC

Active
Other names
Wellington Manor
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT SPEELMAN (PRESIDENT)
(330) 204-1040
Entity
Organization

Contact information

Practice address
2923 HAMILTON MASON RD, HAMILTON, OH 45011-5355
(513) 863-0360
(513) 887-4721
Mailing address
782 W ORANGE RD, DELAWARE, OH 43015-8922
(330) 204-1040

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0776N
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2429321
OH
Enumeration date
12/01/2005
Last updated
05/13/2016
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