Organization
GLENWOOD ESTATE
Active
Other names
Bradford Place
Organization subpart
No
Provider details
NPI number
Authorized official
MARY POLLOCK (PRESIDENT)
(620) 926-0304
Entity
Organization
Contact information
Practice address
621 S 2ND ST, INDEPENDENCE, KS 67301-4311
(620) 331-2260
(620) 331-7082
Mailing address
621 S 2ND ST, INDEPENDENCE, KS 67301-4311
(620) 331-2260
(620) 331-7082
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
N063005
KS
Other
Enumeration date
03/19/2007
Last updated
08/22/2020
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