Diversicare Leasing LP
NPI #1124016241 in New Tazewell, Tennessee
Provider Information
- NPI Number
- 1124016241
- Entity Type
- Organization
- Organization Name
- Diversicare Leasing LP
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- DLC GP LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Oct 12, 2005
- Last Updated
- Jan 19, 2023
Practice Location
- Address
- 902 BUCHANAN RD
- City
- New Tazewell
- State
- Tennessee
- ZIP Code
- 37825-7410
- Phone
- (423) 626-8215
Authorized Official
- Name
- MATTHEW J. WEISHAAR
- Title
- CFO/SECRETARY
- Phone
- (615) 550-9459
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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