Diversicare of Worland, LLC

NPI #1750760716 in Worland, Wyoming

Provider Information

NPI Number
1750760716
Entity Type
Organization
Organization Name
Diversicare of Worland, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
DIVERSICARE LEASING COMPANY II, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
May 23, 2015
Last Updated
May 23, 2015

Practice Location

Address
1901 HOWELL AVE
State
Wyoming
ZIP Code
82401-3733
Phone
(307) 347-4285

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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