Provider Demographics
NPI:1467525139
Name:GLENDA MAGNEY
Entity Type:Organization
Organization Name:GLENDA MAGNEY
Other - Org Name:ROLLING HILLS CARE FACILITY, LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:GLENDA
Authorized Official - Middle Name:L
Authorized Official - Last Name:MAGNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:660-265-4391
Mailing Address - Street 1:24583 HIGHWAY 5
Mailing Address - Street 2:
Mailing Address - City:MILAN
Mailing Address - State:MO
Mailing Address - Zip Code:63556-2809
Mailing Address - Country:US
Mailing Address - Phone:660-265-4391
Mailing Address - Fax:660-265-1070
Practice Address - Street 1:24583 HIGHWAY 5
Practice Address - Street 2:
Practice Address - City:MILAN
Practice Address - State:MO
Practice Address - Zip Code:63556-2809
Practice Address - Country:US
Practice Address - Phone:660-265-4391
Practice Address - Fax:660-265-1070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-17
Last Update Date:2016-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO044220311Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility