Diversicare Clinton, LLC

NPI #1104184787 in Clinton, Kentucky

Provider Information

NPI Number
1104184787
Entity Type
Organization
Organization Name
Diversicare Clinton, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
ADVOCAT INC.
Primary Specialty
Skilled Nursing Facility
Enumeration Date
May 2, 2012
Last Updated
May 2, 2012

Practice Location

Address
106 PADGETT DR
ZIP Code
42031-1313
Phone
(270) 653-5558

Authorized Official

Name
KELLY J GILL
Title
PRESIDENT & CEO
Phone
(615) 771-7575

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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