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General NPI Number Information
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NPI Number | 1376784488
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Entity Type | Organization
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Legal Business Name | THE GLEBE, INC.
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Dates
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Enumeration Date | 03/19/2009
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Last Update Date | 03/20/2024
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Provider Practice Location Address
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Address Line | 200 THE GLEBE BLVD
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City | DALEVILLE
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State | VA
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Zip | 24083-3722
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Country | US
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Telephone | 540-591-2100
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Fax | 540-591-2109
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Provider Business Mailing Address
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Address Line | 200 THE GLEBE BLVD
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City | DALEVILLE
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State | VA
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Zip | 24083-3722
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Country | US
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Telephone | 540-591-2100
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Fax | 540-591-2109
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | ELLEN D'ARDENNE
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Credential |
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Telephone | 540-591-2104
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | NH2758
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License Number State | VA
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