Provider Demographics
NPI:1376784488
Name:THE GLEBE, INC.
Entity Type:Organization
Organization Name:THE GLEBE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:D'ARDENNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-591-2104
Mailing Address - Street 1:200 THE GLEBE BLVD
Mailing Address - Street 2:
Mailing Address - City:DALEVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24083-3722
Mailing Address - Country:US
Mailing Address - Phone:540-591-2100
Mailing Address - Fax:540-591-2109
Practice Address - Street 1:200 THE GLEBE BLVD
Practice Address - Street 2:
Practice Address - City:DALEVILLE
Practice Address - State:VA
Practice Address - Zip Code:24083-3722
Practice Address - Country:US
Practice Address - Phone:540-591-2100
Practice Address - Fax:540-591-2109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-19
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VANH2758313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility