Diversicare Leasing Corp.

NPI #1407845068 in Yorktown, Texas

Provider Information

NPI Number
1407845068
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
670 W 4TH ST
State
Texas
ZIP Code
78164-5092
Phone
(361) 564-2275

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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