Organization
DIVERSICARE OF GLASGOW, LLC
Active
Parent organization
DIVERSICARE HEALTHCARE SERVICES, INC.
Other names
Diversicare of Glasgow
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIVERSICARE HEALTHCARE SERVICES, INC.
Authorized official
KELLY J GILL (PRESIDENT AND CEO)
(615) 771-7575
Entity
Organization
Contact information
Practice address
300 WESTWOOD ST, GLASGOW, KY 42141-1030
(270) 651-9131
(615) 620-7875
Mailing address
300 WESTWOOD ST, GLASGOW, KY 42141-1030
(270) 651-9131
(615) 620-7875
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
100509
KY
Other
Enumeration date
12/08/2014
Last updated
06/01/2015
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