Glen Haven Home

NPI 1407931546 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1407931546
Enumeration Date 10/26/2006
Last Updated 10/14/2015
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DEBORAH L DEBORAH
Position ADMINISTRATOR
Phone (712) 527-3101
Fax (712) 527-4063
Practice Location
302 6TH ST
GLENWOOD IA, 51534-1129, US
Phone (712) 527-3101
Fax (712) 527-4063
Business Location
302 6TH ST
GLENWOOD IA, 51534, US
Phone (712) 527-3101
Fax (712) 527-4063
Toxanomy
Taxonomy Code 314000000X
License State Iowa
License Number 650355
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According to our database, Glen Haven Home NPI is 1407931546, taxonomy code is 314000000X and license number is 650355, license state is located at Iowa. Glen Haven Home physically located at 302 6th St, Glenwood IA, 51534-1129. NPI Number 1033115704 has the healthcare provider type.

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1407931546 NPI number is provided on an as is basis without warranty of any kind. 1407931546 is maintained by the National Plan & Provider Enumeration System. The contents of Glen Haven Home are for informational purposes only.