Organization
CVW MANAGEMENT INC.
Active
Other names
Glendale Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES L VON WALDNER (CEO)
(912) 354-2752
Entity
Organization
Contact information
Practice address
10200 U S HIGHWAY 1 SOUTH, WADLEY, GA 30477-3864
(478) 252-3254
(478) 252-1750
Mailing address
2040 COLONIAL DR, SAVANNAH, GA 31406-2226
(912) 354-2752
(912) 352-2038
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1-081-372
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000141138A
—
GA
Enumeration date
09/13/2005
Last updated
05/24/2012
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