NPI | 1831644822 |
---|---|
Doing Business As | DIVERSICARE OF BROOKHAVEN |
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 377) |
Enumeration Date | 2016-08-18 |
Last Update Date | 2023-04-07 |