Organization
GLENMARK LIMITED LIABILITY COMPANY I
Active
Other names
Valley Center
Organization subpart
No
Provider details
NPI number
Authorized official
JANE DROPESKEY (CORPORATE MANAGER)
(610) 925-4231
Entity
Organization
Contact information
Practice address
1000 LINCOLN DR, SOUTH CHARLESTON, WV 25309-2304
(610) 925-4436
(610) 925-4351
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(610) 925-4436
(610) 925-4351
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
128
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0003055000
—
WV
01
—
000327692
MOUNTAIN STATE BC/BS
—
01
—
2507257
AETNA-HMO
—
01
—
282183
UNITED - MAMSI
—
Enumeration date
06/21/2006
Last updated
08/17/2018
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