Diversicare Estates LLC
NPI #1053511998 in Fort Worth, Texas
Provider Information
- NPI Number
- 1053511998
- Entity Type
- Organization
- Organization Name
- Diversicare Estates LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- ADVOCAT INC.
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jul 19, 2007
- Last Updated
- Aug 4, 2012
Practice Location
- Address
- 201 SYCAMORE SCHOOL RD
- City
- Fort Worth
- State
- Texas
- ZIP Code
- 76134-5009
- Phone
- (817) 293-7610
Authorized Official
- Name
- KELLY J GILL
- Title
- PRESIDENT AND CEO
- Phone
- (615) 771-7575
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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