NPI | 1306218839 |
---|---|
Doing Business As | DIVERSICARE OF FULTON |
Entity Type | Organization |
Authorized Contact | KELLY J GILL President And CEO 615-771-7575 |
Organization Subpart ? | Yes |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: KY 100132) |
Enumeration Date | 2015-10-23 |
Last Update Date | 2016-05-01 |