Organization
DIVERSICARE LEASING LP
Active
Parent organization
DLC GP LLC
Other names
Brookshire Healthcare Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
DLC GP LLC
Authorized official
MATTHEW J. WEISHAAR (CHIEF FINANCIAL OFFICER & SECRETARY)
(615) 771-7575
Entity
Organization
Contact information
Practice address
4320 JUDITH LN SW, HUNTSVILLE, AL 35805-3363
(256) 837-1730
(256) 430-3287
Mailing address
4320 JUDITH LN SW, HUNTSVILLE, AL 35805-3363
(256) 837-1730
(256) 430-3287
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N4504
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47-57660S
—
AL
Enumeration date
10/06/2005
Last updated
01/20/2023
About Stedi
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