Organization
GLENWOOD HEALTH AND REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA A LEE NHA (CEO)
(870) 356-3953
Entity
Organization
Contact information
Practice address
615 MOUNTAIN VIEW RD, GLENWOOD, AR 71943-9061
(870) 356-3953
(870) 356-4314
Mailing address
615 MOUNTAIN VIEW RD, GLENWOOD, AR 71943-9061
(870) 356-3953
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
964
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
045403
—
AR
Enumeration date
02/18/2015
Last updated
02/18/2015
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