Diversicare Leasing Corp.

NPI #1750379335 in Malvern, Arkansas

Provider Information

NPI Number
1750379335
Entity Type
Organization
Organization Name
Diversicare Leasing Corp.
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Oct 8, 2005
Last Updated
Aug 22, 2020

Practice Location

Address
105 RUSSELLVILLE RD
ZIP Code
72104-6700
Phone
(501) 332-5251

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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