- Enrollment id
- O20120731000242
- Enrollment state
- FL
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1982605085
- Multiple npi flag
- N
- Ccn
- 106018
- Associate id
- 9830355239
- Organization name
- OKEECHOBEE COUNCIL ON AGING INC
- Doing business as name
- GLADES HEALTH CARE CENTER
- Incorporation date
- 1974-06-13
- Incorporation state
- FL
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Nursing home provider name
- GLADES HEALTH CARE CENTER
- Address line 1
- 230 S BARFIELD HWY
- City
- PAHOKEE
- State
- FL
- Zip code
- 334761834