Organization
GLENWOOD HEALTHCARE, INC.
Active
Other names
Glenwood Convalescent Center, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DWIGHT M. SPEARMAN (PRESIDENT)
(256) 766-8963
Entity
Organization
Contact information
Practice address
211 ANA DRIVE, FLORENCE, AL 35630-1768
(256) 766-8963
(256) 768-2780
Mailing address
211 ANA DRIVE, FLORENCE, AL 35630-1768
(256) 766-8963
(256) 768-2780
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
10579
AL
314000000X
Skilled Nursing Facility
Primary
5508
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010641
BCBS PROVIDER NUMBER
AL
05
—
4751220S
—
AL
Enumeration date
08/19/2005
Last updated
01/09/2012
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