Organization
GLENWOOD PARK, INC.
Active
Other names
GlenWood Park Retirement Village
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL W. FARLEY CNHA (CEO / PRESIDENT / ADMINISTRATOR)
(304) 425-8128
Entity
Organization
Contact information
Practice address
1924 GLENWOOD PARK RD, PRINCETON, WV 24740-7969
(304) 425-8128
(304) 487-1338
Mailing address
1924 GLENWOOD PARK RD, PRINCETON, WV 24740-7969
(304) 425-8128
(304) 487-1338
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
4
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0003502000
—
WV
Enumeration date
10/10/2005
Last updated
08/22/2020
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