Diversicare Leasing Corp.
NPI #1477541688 in South Shore, Kentucky
Provider Information
- NPI Number
- 1477541688
- Entity Type
- Organization
- Organization Name
- Diversicare Leasing Corp.
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Oct 11, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 489 JAMES HANNAH DRIVE
- City
- South Shore
- State
- Kentucky
- ZIP Code
- 41175-0489
- Phone
- (606) 932-3127
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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