Organization
DAC OF QUITMAN, LLC
Active
Parent organization
DAC ACQUISITION LLC
Other names
Diversicare of Quitman
Organization subpart
Yes
Provider details
NPI number
Legal business name
DAC ACQUISITION LLC
Authorized official
MATTHEW J. WEISHAAR (CHIEF FINANCIAL OFFICER)
(615) 550-9459
Entity
Organization
Contact information
Practice address
191 HIGHWAY 511, QUITMAN, MS 39355-8320
(601) 776-2141
(601) 776-5782
Mailing address
1621 GALLERIA BLVD, BRENTWOOD, TN 37027-2926
(615) 550-9453
(615) 915-9635
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25-5288
MEDICARE - SNF
MS
Enumeration date
03/24/2022
Last updated
04/07/2023
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