# PRESBYTERIAN VILLAGE OF HOMER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447247879
- **Authorized official:** MS. TONI LEE MEDLIN (BUSINESS OFFICE MANAGER)
- **Authorized official phone:** (318) 927-6133

## Contact information

- **Practice address:** 3700 HIGHWAY 79, HOMER, LA 71040-5114
- **Practice address phone:** (318) 927-6133
- **Practice address fax:** (318) 927-4200
- **Mailing address:** P.O. BOX 149, HOMER, LA 71040-0149
- **Mailing address phone:** (318) 927-6133
- **Mailing address fax:** (318) 927-4200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 248 | LA | Yes |

## Other

- **Enumeration date:** 09/30/2005
- **Last updated:** 11/06/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1512486 | — | LA |