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Organization

UNIVERSITY EXTENDED CARE INC

Active
Other names
Westwood Nursing Home
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KEITH WAYNE AUSTIN (ADMINISTRATOR)
(706) 863-7514
Entity
Organization

Contact information

Practice address
561 UNIVERSITY DRIVE, EVANS, GA 30809
(706) 863-7514
(706) 855-9580
Mailing address
1230 WALTON WAY, AUGUSTA, GA 30901-2142
(706) 828-2512
(706) 828-2514

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
LTC1036959
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000219359A
GA
Enumeration date
09/26/2005
Last updated
05/05/2010
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