Provider Demographics
NPI:1881212181
Name:GLANZER COVID CARE CENTER
Entity Type:Organization
Organization Name:GLANZER COVID CARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:KINGDON-REESE
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN, MBHCA, LNC
Authorized Official - Phone:605-461-8650
Mailing Address - Street 1:1143 LINCOLN AVE SW
Mailing Address - Street 2:
Mailing Address - City:HURON
Mailing Address - State:SD
Mailing Address - Zip Code:57350-3011
Mailing Address - Country:US
Mailing Address - Phone:605-352-4663
Mailing Address - Fax:605-352-1373
Practice Address - Street 1:50 7TH ST SE
Practice Address - Street 2:
Practice Address - City:HURON
Practice Address - State:SD
Practice Address - Zip Code:57350-2803
Practice Address - Country:US
Practice Address - Phone:605-350-9992
Practice Address - Fax:605-352-1373
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-13
Last Update Date:2020-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No251J00000XAgenciesNursing Care
No313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility