Provider Demographics
NPI:1336930395
Name:GLASGOW, LINDA LEE
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:LEE
Last Name:GLASGOW
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8894 COLUMBUS RD
Mailing Address - Street 2:
Mailing Address - City:LAKEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44638-9502
Mailing Address - Country:US
Mailing Address - Phone:330-988-4994
Mailing Address - Fax:
Practice Address - Street 1:8894 COLUMBUS RD
Practice Address - Street 2:
Practice Address - City:LAKEVILLE
Practice Address - State:OH
Practice Address - Zip Code:44638-9502
Practice Address - Country:US
Practice Address - Phone:330-988-4994
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-16
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
No347C00000XTransportation ServicesPrivate Vehicle
No385H00000XRespite Care FacilityRespite Care