Organization
DAC OF MARION, LLC
Active
Parent organization
DAC ACQUISITION LLC
Other names
Diversicare of Marion
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
505 E LAFAYETTE ST, MARION, AL 36756-2323
(334) 683-9696
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
—
01-5158
MEDICARE - PTAN
AL
05
—
294722
—
AL
Enumeration date
04/20/2022
Last updated
04/07/2023
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