Diversicare of Delta, LLC

NPI #1851770812 in Delta, Colorado

Provider Information

NPI Number
1851770812
Entity Type
Organization
Organization Name
Diversicare of Delta, 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
2050 S MAIN ST
City
Delta
ZIP Code
81416-2407
Phone
(970) 874-9773

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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