Organization
DIVERSICARE LEASING CORP.
Active
Other names
Ash Flat Nursing & 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
66 OZBIRN LN, ASH FLAT, AR 72513-9522
(870) 994-2341
(870) 994-2344
Mailing address
66 OZBIRN LN, ASH FLAT, AR 72513-9522
(870) 994-2341
(870) 994-2344
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
531
AR
Other
Enumeration date
10/07/2005
Last updated
08/22/2020
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