Diversicare Leasing Corp.

NPI #1114915782 in Des Arc, Arkansas

Provider Information

NPI Number
1114915782
Entity Type
Organization
Organization Name
Diversicare Leasing Corp.
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Oct 7, 2005
Last Updated
Aug 22, 2020

Practice Location

Address
2216 MAIN ST
ZIP Code
72040-3100
Phone
(870) 256-4194

Authorized Official

Name
RAYMOND L. TYLER JR.
Title
EXECUTIVE VICE PRESIDENT AND COO
Phone
(615) 771-7575

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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