Organization
WESTBURY MEDICAL CARE HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES R. WESTBURY SR. (ADMINISTRATOR/OWNER)
(770) 775-7832
Entity
Organization
Contact information
Practice address
922 MCDONOUGH RD, JACKSON, GA 30233-1522
(770) 775-7832
(770) 504-9430
Mailing address
922 MCDONOUGH RD, JACKSON, GA 30233-1522
(770) 775-7832
(770) 504-9430
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1-018-173
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00143514A
—
GA
Enumeration date
10/05/2006
Last updated
08/22/2020
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