MEDICARE: WESTVIEW NURSING AND REHABILITATION CENTER, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility	1-025-1577	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043209240
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WESTVIEW NURSING AND REHABILITATION CENTER, LLC

Provider Business Mailing Address
First Line	:	1000 DORSET RD
Second Line	:
City	:	PORT WENTWORTH
State	:	GA
Zip	:	31407-1517
Country	:	US
Telephone Number	:	912-964-1515
Fax Number	:	912-964-9490

Provider Business Practice Location Address
First Line	:	1000 DORSET RD
Second Line	:
City	:	PORT WENTWORTH
State	:	GA
Zip	:	31407-1517
Country	:	US
Telephone Number	:	912-964-1515
Fax Number	:	912-964-9490

Authorized Official
Title or Position	:	OPERATOR
Name	:	MRS. DEBORAH L MEADE
Credential	:
Telephone Number	:	478-328-3800

Provider Enumeration Date	:	10/19/2005
Last Update Date	:	12/08/2011

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