GLENWOOD ESTATE
Custodial Care Facility
Independence, Kansas
Provider NPI: 1780708297
Organization Information:Organization Name: GLENWOOD ESTATE
Practice Location:
621 S 2ND ST INDEPENDENCE, KS 67301 US
Tel: 620-331-2260 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Practice Location:
621 S 2ND ST INDEPENDENCE, KS 67301 US
Tel: 620-331-2260 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 311Z00000X | Nursing & Custodial Care Facilities Custodial Care Facility | KS | N063005 |