| NPI | 1831504521 |
|---|---|
| Doing Business As | DIVERSICARE OF ST. JOSEPH |
| Entity Type | Organization |
| Authorized Contact | MATTHEW J WEISHAAR CFO And Secretary 615-550-9459 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MO 042463) |
| Enumeration Date | 2014-06-22 |
| Last Update Date | 2022-10-21 |