NPI | 1003629809 |
---|---|
Doing Business As | DIVERSICARE OF COPPER BASIN |
Entity Type | Organization |
Authorized Contact | MATTHEW J. WEISHAAR Chief Financial Officer And Secreta 615-771-7575 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Enumeration Date | 2025-01-28 |
Last Update Date | 2025-01-28 |