Organization
DIVERSICARE LEASING CORP.
Active
Parent organization
ADVOCAT INC.
Other names
Boyd Nursing & Rehabilitation Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVOCAT INC.
Authorized official
RAYMOND L. TYLER JR. (EXECUTIVE VICE PRESIDENT AND COO)
(615) 771-7575
Entity
Organization
Contact information
Practice address
12800 PRINCELAND DR, ASHLAND, KY 41102-9681
(606) 928-2963
(606) 928-3879
Mailing address
12800 PRINCELAND DR, ASHLAND, KY 41102-9681
(606) 928-2963
(606) 928-3879
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
100689
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12503082
—
KY
Enumeration date
10/11/2005
Last updated
11/04/2009
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