Organization
DIVERSICARE LEASING CORP.
Active
Other names
Des Arc Nursing & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND L. TYLER JR. (EXECUTIVE VICE PRESIDENT AND COO)
(615) 771-7575
Entity
Organization
Contact information
Practice address
2216 MAIN ST, DES ARC, AR 72040-3100
(870) 256-4194
(870) 256-1407
Mailing address
2216 MAIN ST, DES ARC, AR 72040-3100
(870) 256-4194
(870) 256-1407
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
532
AR
Other
Enumeration date
10/07/2005
Last updated
08/22/2020
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