Organization
DIVERSICARE LEASING CORP.
Active
Other names
The Pines Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND L. TYLER JR. (EXECUTIVE VICE PRESIDENT AND COO)
(615) 771-7575
Entity
Organization
Contact information
Practice address
534 CARPENTER DAM RD, HOT SPRINGS, AR 71901-8213
(501) 262-4124
(501) 262-5722
Mailing address
534 CARPENTER DAM RD, HOT SPRINGS, AR 71901-8213
(501) 262-4124
(501) 262-5722
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
536
AR
Other
Enumeration date
10/08/2005
Last updated
08/22/2020
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