Organization
DIVERSICARE LEASING CORP.
Active
Other names
Ouachita 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
1411 COUNTRY CLUB RD, CAMDEN, AR 71701-4507
(870) 836-4111
(870) 836-5671
Mailing address
1411 COUNTRY CLUB RD, CAMDEN, AR 71701-4507
(870) 836-4111
(870) 836-5671
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
540
AR
Other
Enumeration date
10/08/2005
Last updated
08/22/2020
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