Organization
GLADE VALLEY NURSING & REHABILITATION CENTER INC
Active
Other names
GLADE VALLEY NURSING AND REHAB CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD A MARIZAN (DIRECTOR, CENTRAL BUSINESS OFFICE)
(301) 315-3272
Entity
Organization
Contact information
Practice address
56 W FREDERICK ST, WALKERSVILLE, MD 21793-8254
(301) 898-4304
(301) 898-4343
Mailing address
56 W FREDERICK ST, WALKERSVILLE, MD 21793-8254
(301) 898-4304
(301) 898-4343
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
430910300
—
MD
05
—
951000100
—
MD
Enumeration date
07/04/2005
Last updated
01/26/2010
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