Diversicare of Eupora, LLC
NPI #1558816546 in Eupora, Mississippi
Provider Information
- NPI Number
- 1558816546
- Entity Type
- Organization
- Organization Name
- Diversicare of Eupora, 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
- 156 E WALNUT AVE
- City
- Eupora
- State
- Mississippi
- ZIP Code
- 39744-2027
- Phone
- (662) 258-8293
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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