Diversicare Of Greenville, Llc

NPI 1184024424 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1184024424
Enumeration Date 08/22/2014
Last Updated 10/21/2015
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name KELLY J KELLY
Position PRESIDENT AND CEO
Phone (270) 338-1523
Fax (615) 620-7875
Practice Location
521 GREENE DR
GREENVILLE KY, 42345-1409, US
Phone (270) 338-1523
Fax (615) 620-7875
Business Location
521 GREENE DR
GREENVILLE KY, 42345-1409, US
Phone (270) 338-1523
Fax (615) 620-7875
Toxanomy
Taxonomy Code 314000000X
License State
License Number
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According to our database, Diversicare Of Greenville, Llc NPI is 1184024424, taxonomy code is 314000000X Diversicare Of Greenville, Llc physically located at 521 Greene Dr, Greenville KY, 42345-1409. NPI Number 1033115704 has the healthcare provider type.

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1184024424 NPI number is provided on an as is basis without warranty of any kind. 1184024424 is maintained by the National Plan & Provider Enumeration System. The contents of Diversicare Of Greenville, Llc are for informational purposes only.