Diversicare of Glasgow, LLC

NPI #1558769505 in Glasgow, Kentucky

Provider Information

NPI Number
1558769505
Entity Type
Organization
Organization Name
Diversicare of Glasgow, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
DIVERSICARE HEALTHCARE SERVICES, INC.
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Dec 8, 2014
Last Updated
Jun 1, 2015

Practice Location

Address
300 WESTWOOD ST
ZIP Code
42141-1030
Phone
(270) 651-9131

Authorized Official

Name
KELLY J GILL
Title
PRESIDENT AND CEO
Phone
(615) 771-7575

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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