Organization
PRESBYTERIAN VILLAGE OF HOMER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TONI LEE MEDLIN (BUSINESS OFFICE MANAGER)
(318) 927-6133
Entity
Organization
Contact information
Practice address
3700 HIGHWAY 79, HOMER, LA 71040-5114
(318) 927-6133
(318) 927-4200
Mailing address
P.O. BOX 149, HOMER, LA 71040-0149
(318) 927-6133
(318) 927-4200
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
248
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1512486
—
LA
Enumeration date
09/30/2005
Last updated
11/06/2013
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