Organization
GLENWOOD CHRISTIAN NURSING HOME INC.
Active
Other names
Metron of Lamont
Organization subpart
No
Provider details
NPI number
Authorized official
MR. J LINDSEY DOOD (EXECUTIVE VICE PRESIDENT / CFO)
(616) 975-5287
Entity
Organization
Contact information
Practice address
13030 COMMERCIAL ST, LAMONT, MI 49430-9999
(616) 677-1243
(616) 677-1460
Mailing address
4630 PLAINFIELD AVENUE NE, SUITE 100, GRAND RAPIDS, MI 49546
(616) 957-3957
(616) 957-1556
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
704040
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2155291
—
MI
01
—
9763
BLUE CROSS
MI
Enumeration date
08/15/2006
Last updated
12/10/2008
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