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Organization

GW SNF LLC

Active
Other names
Glenwood Healthcare
Organization subpart
No

Provider details

NPI number
Authorized official
BRUCE E WERTHEIM (MANAGER)
(813) 347-9888
Entity
Organization

Contact information

Practice address
41 N FIFTH ST, GLENWOOD, GA 30428-3701
(912) 523-5102
(912) 523-5704
Mailing address
PO BOX 869, 41 N FIFTH ST, GLENWOOD, GA 30428-0869
(912) 523-5102
(912) 523-5704

Taxonomy

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

Other

Enumeration date
05/13/2016
Last updated
01/12/2022
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