| NPI | 1801341896 |
|---|---|
| Doing Business As | DIVERSICARE OF SOUTHAVEN |
| Entity Type | Organization |
| Authorized Contact | MATTHEW J WEISHAAR Chief Financial Officer 615-550-9459 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MS 388) |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2023-04-07 |