Organization
DAC OF GREENSBORO, LLC
Active
Parent organization
DAC ACQUISITION LLC
Other names
Diversicare of Greensboro
Organization subpart
Yes
Provider details
NPI number
Legal business name
DAC ACQUISITION LLC
Authorized official
MATTHEW J. WEISHAAR (CFO)
(615) 550-9459
Entity
Organization
Contact information
Practice address
616 ARMORY ST, GREENSBORO, AL 36744-2110
(334) 624-3054
(334) 624-7560
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-5396
MEDICARE - PTAN
AL
Enumeration date
04/20/2022
Last updated
04/07/2023
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