Diversicare of Montgomery, LLC
NPI #1366997454 in Montgomery, Alabama
Provider Information
- NPI Number
- 1366997454
- Entity Type
- Organization
- Organization Name
- Diversicare of Montgomery, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- DIVERSICARE LEASING COMPANY III, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Aug 18, 2016
- Last Updated
- Apr 7, 2023
Practice Location
- Address
- 2020 N COUNTRY CLUB DR
- City
- Montgomery
- State
- Alabama
- ZIP Code
- 36106-1614
- Phone
- (334) 263-1643
Authorized Official
- Name
- MATTHEW J WEISHAAR
- Title
- CHIEF FINANCIAL OFFICER
- Phone
- (615) 550-9459
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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