C.r. of Glenvue, LLC

NPI #1891197174 in Glennville, Georgia

Provider Information

NPI Number
1891197174
Entity Type
Organization
Organization Name
C.r. of Glenvue, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Sep 18, 2014
Last Updated
Sep 18, 2014

Practice Location

Address
721 N VETERANS BLVD
State
Georgia
ZIP Code
30427-2208
Phone
(912) 654-2138

Authorized Official

Name
MICHAEL E WINGET SR.
Title
MANAGER
Phone
(478) 994-3669

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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