Organization
GLENDIVE NURSING AND REHAB CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUSTIN MONROE (GENERAL COUNSEL)
(385) 240-6408
Entity
Organization
Contact information
Practice address
2000 MONTANA AVE, GLENDIVE, MT 59330-3700
(385) 240-6408
Mailing address
1376 E 3300 S, SALT LAKE CITY, UT 84106-3069
(385) 240-6408
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261Q00000X
Clinic/Center
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
05/05/2022
Last updated
06/19/2023
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