Diversicare Leasing LP

NPI #1538157664 in Martin, Tennessee

Provider Information

NPI Number
1538157664
Entity Type
Organization
Organization Name
Diversicare Leasing LP
Subpart
Yes (part of a larger organization)
Parent Organization
DLC GP LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Oct 12, 2005
Last Updated
Jan 19, 2023

Practice Location

Address
158 MOUNT PELIA RD
City
Martin
ZIP Code
38237-3812
Phone
(731) 587-0503

Authorized Official

Name
MATTHEW J. WEISHAAR
Title
CFO/SECRETARY
Phone
(615) 550-9459

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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