Organization
WESTMINSTER PRESBYTERIAN HOMES, INC.
Active
Other names
Presbyterian Village, Athens
Organization subpart
No
Provider details
NPI number
Authorized official
DIANNE ARRENDALE (CFO)
(229) 263-6194
Entity
Organization
Contact information
Practice address
1400 LIVE OAK LN, BUILDING 100, ATHENS, GA 30606
(678) 301-4906
(706) 739-7516
Mailing address
PO BOX 926, QUITMAN, GA 31643-0926
(229) 263-6106
(229) 263-6195
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115775
MEDICARE
—
01
—
1255966081
NPI
—
01
—
ALC000684
GEORGIA ASSISTED LIVING PERMIT
GA
01
—
LTC001014
GEORGIA NURSING HOME PERMIT
GA
Enumeration date
03/12/2020
Last updated
08/08/2023
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