Diversicare Leasing Corp.

NPI #1760470330 in Ash Flat, Arkansas

Provider Information

NPI Number
1760470330
Entity Type
Organization
Organization Name
Diversicare Leasing Corp.
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Oct 7, 2005
Last Updated
Aug 22, 2020

Practice Location

Address
66 OZBIRN LN
ZIP Code
72513-9522
Phone
(870) 994-2341

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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