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Organization

GLENWOOD OPERATING COMPANY LLC

Active
Other names
Glenwood Health and Rehabilitation Center
Organization subpart
No

Provider details

NPI number
Authorized official
KELLE C SANTORO (SR DIRECTOR AR)
(832) 467-5728
Entity
Organization

Contact information

Practice address
4115 GLENWOOD RD, DECATUR, GA 30032-4727
(404) 284-6414
Mailing address
5300 W SAM HOUSTON PKWY N, SUITE 100, HOUSTON, TX 77041-5161
(832) 467-6000

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11-5025
NORIDIAN
GA
Enumeration date
10/11/2016
Last updated
11/11/2020
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