Organization
EAST GLEN, LLC
Active
Parent organization
NOLAND HEALTH SERVICES, INC.
Other names
East Glen
Organization subpart
Yes
Provider details
NPI number
Legal business name
NOLAND HEALTH SERVICES, INC.
Authorized official
NICHOLAS V RENDA (EVP/CFO)
(205) 783-8460
Entity
Organization
Contact information
Practice address
53 MEDICAL PARK DRIVE, EAST, BIRMINGHAM, AL 35235-3402
(205) 836-4231
(205) 838-5327
Mailing address
600 CORPORATE PKWY, SUITE 100, BIRMINGHAM, AL 35242-2934
(205) 783-8460
(205) 783-8450
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
12566
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47580505
—
AL
Enumeration date
05/26/2006
Last updated
11/12/2024
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