Organization
DIVERSICARE OF BOAZ, LLC
Active
Parent organization
DIVERSICARE HEALTHCARE SERVICES, LLC
Other names
Diversicare of Boaz
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIVERSICARE HEALTHCARE SERVICES, LLC
Authorized official
MATTHEW J WEISHAAR (CHIEF FINANCIAL OFFICER)
(615) 771-7575
Entity
Organization
Contact information
Practice address
600 CORLEY AVE, BOAZ, AL 35957-5952
(256) 593-8380
(256) 593-3458
Mailing address
1621 GALLERIA BLVD, BRENTWOOD, TN 37027-2926
(615) 550-9453
(615) 915-6935
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
199941
—
AL
Enumeration date
08/18/2016
Last updated
04/07/2023
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