Organization
GLENWOOD ESTATE, INC.
Active
Other names
Heatherwood Estate
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE NELL HAMILTON (OFFICE MANAGER)
(620) 331-0511
Entity
Organization
Contact information
Practice address
614 S 8TH ST, INDEPENDENCE, KS 67301-4205
(620) 331-0511
(620) 331-0599
Mailing address
614 S 8TH ST, INDEPENDENCE, KS 67301-4205
(620) 331-0511
(620) 331-0599
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N063008
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100110020A
—
KS
01
—
1657
BLUE CROSS BLUE SHIELD
KS
Enumeration date
09/16/2006
Last updated
11/04/2008
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