Organization
DAC OF COPPERHILL LLC
Active
Other names
Diversicare of Copper Basin
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW J. WEISHAAR (CHIEF FINANCIAL OFFICER AND SECRETA)
(615) 771-7575
Entity
Organization
Contact information
Practice address
166 INDUSTRIAL DR, COPPERHILL, TN 37317-5632
(423) 496-3245
Mailing address
1621 GALLERIA BLVD, BRENTWOOD, TN 37027-2926
(615) 550-9453
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
01/28/2025
Last updated
01/28/2025
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