# DIVERSICARE CLINTON, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ADVOCAT INC.
- **Other names:** Arbor Place of Clinton
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1104184787
- **Legal business name:** ADVOCAT INC.
- **Authorized official:** KELLY J GILL (PRESIDENT & CEO)
- **Authorized official phone:** (615) 771-7575

## Contact information

- **Practice address:** 106 PADGETT DR, CLINTON, KY 42031-1313
- **Practice address phone:** (270) 653-5558
- **Practice address fax:** (270) 653-5522
- **Mailing address:** 106 PADGETT DR, CLINTON, KY 42031-1313
- **Mailing address phone:** (270) 653-5558
- **Mailing address fax:** (270) 653-5522

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 05/02/2012
- **Last updated:** 05/02/2012