Organization
PRESBYTERIAN VILLAGE, AUSTELL, INC.
Active
Other names
Presbyterian Village
Organization subpart
No
Provider details
NPI number
Authorized official
DIANNE ARRENDALE CPA (CFO)
(229) 263-6193
Entity
Organization
Contact information
Practice address
2000 E WEST CONNECTOR, AUSTELL, GA 30106-1194
(770) 819-7000
(770) 819-7497
Mailing address
PO BOX 926, QUITMAN, GA 31643-0926
(229) 263-6191
(229) 263-6195
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00362832A
—
GA
Enumeration date
10/25/2005
Last updated
08/08/2023
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