Diversicare of Greenville, LLC
NPI #1184024424 in Greenville, Kentucky
Provider Information
- NPI Number
- 1184024424
- Entity Type
- Organization
- Organization Name
- Diversicare of Greenville, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- DIVERSICARE LEASING COMPANY II, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Aug 22, 2014
- Last Updated
- Oct 21, 2015
Practice Location
- Address
- 521 GREENE DR
- City
- Greenville
- State
- Kentucky
- ZIP Code
- 42345-1409
- Phone
- (270) 338-1523
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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