Diversicare of Oneonta, LLC

NPI #1417402504 in Oneonta, Alabama

Provider Information

NPI Number
1417402504
Entity Type
Organization
Organization Name
Diversicare of Oneonta, 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
215 VALLEY RD
State
Alabama
ZIP Code
35121-1334
Phone
(205) 274-2365

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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