Diversicare of Pell City, LLC

NPI #1942755038 in Pell City, Alabama

Provider Information

NPI Number
1942755038
Entity Type
Organization
Organization Name
Diversicare of Pell City, 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
510 WOLF CREEK RD N
State
Alabama
ZIP Code
35125-2477
Phone
(205) 338-3329

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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