# DIVERSICARE NORMANDY TERRACE LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ADVOCAT INC.
- **Other names:** Normandy Terrace Healthcare and Rehabilitation Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1083813588
- **Legal business name:** ADVOCAT INC.
- **Authorized official:** KELLY J GILL (PRESIDENT AND CEO)
- **Authorized official phone:** (615) 771-7575

## Contact information

- **Practice address:** 841 RICE RD, SAN ANTONIO, TX 78220-3513
- **Practice address phone:** (210) 648-0101
- **Practice address fax:** (210) 648-2252
- **Mailing address:** 841 RICE RD, SAN ANTONIO, TX 78220-3513
- **Mailing address phone:** (210) 648-0101
- **Mailing address fax:** (210) 648-2252

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 117387 | TX | Yes |

## Other

- **Enumeration date:** 07/13/2007
- **Last updated:** 10/08/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 67-5823 | MEDICARE SNF | TX |