Organization
C.R. OF GLENVUE, LLC
Active
Other names
Glenvue Health and Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL E WINGET SR. (MANAGER)
(478) 994-3669
Entity
Organization
Contact information
Practice address
721 N VETERANS BLVD, GLENNVILLE, GA 30427-2208
(912) 654-2138
(912) 654-1518
Mailing address
721 N VETERANS BLVD, GLENNVILLE, GA 30427-2208
(912) 654-2138
(912) 654-1518
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
09/18/2014
Last updated
09/18/2014
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