NPI | 1548258676 |
---|---|
Doing Business As | DIVERSICARE OF DOVER |
Entity Type | Organization |
Authorized Contact | MATTHEW J. WEISHAAR CFO/Secretary 615-550-9459 |
Organization Subpart ? | Yes |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TN 0000000306) |
Enumeration Date | 2005-10-12 |
Last Update Date | 2023-01-19 |