Organization
DIVERSICARE PARIS, LLC
Active
Parent organization
ADVOCAT INC.
Other names
Brentwood Terrace Healthcare and Rehabilitation Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVOCAT INC.
Authorized official
KELLY J GILL (PRESIDENT AND CEO)
(615) 771-7575
Entity
Organization
Contact information
Practice address
2885 STILLHOUSE RD, PARIS, TX 75462-2042
(903) 784-4111
(903) 784-7121
Mailing address
2885 STILLHOUSE RD, PARIS, TX 75462-2042
(903) 784-4111
(903) 784-7121
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
127763
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
67-6045
MEDICARE SNF
TX
Enumeration date
10/02/2007
Last updated
08/04/2012
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