Organization
DIVERSICARE OF CHATEAU LLC
Active
Parent organization
DIVERSICARE HEALTHCARE SERVICES LLC
Other names
St. Joseph Chateau
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIVERSICARE HEALTHCARE SERVICES LLC
Authorized official
MATTHEW J WEISHAAR (CFO AND SECRETARY)
(615) 771-7575
Entity
Organization
Contact information
Practice address
811 N 9TH ST, SAINT JOSEPH, MO 64501-1651
(816) 233-5164
(816) 233-5211
Mailing address
811 N 9TH ST, SAINT JOSEPH, MO 64501-1651
(816) 233-5164
(816) 233-5211
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
042612
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588079271
—
MO
Enumeration date
06/22/2014
Last updated
11/07/2022
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