Organization
DIVERSICARE OF ST. THERESA, LLC
Active
Parent organization
DIVERSICARE LEASING COMPANY II, LLC
Other names
Diversicare of St. Theresa
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIVERSICARE LEASING COMPANY II, LLC
Authorized official
JAMES R. MCKNIGHT JR. (PRESIDENT & CEO)
(615) 771-7575
Entity
Organization
Contact information
Practice address
7010 ROWAN HILL DR, CINCINNATI, OH 45227-3380
(513) 271-7010
(513) 527-0181
Mailing address
7010 ROWAN HILL DR, CINCINNATI, OH 45227-3380
(513) 271-7010
(513) 527-0181
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0096325
—
OH
Enumeration date
09/11/2013
Last updated
01/19/2019
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