Diversicare Leasing Corp.

NPI #1154310712 in Lampasas, Texas

Provider Information

NPI Number
1154310712
Entity Type
Organization
Organization Name
Diversicare Leasing Corp.
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Oct 17, 2005
Last Updated
Aug 22, 2020

Practice Location

Address
611 N BROAD ST
State
Texas
ZIP Code
76550-1105
Phone
(512) 556-3588

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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