Organization
DIVERSICARE WINDSOR HOUSE, LLC
Active
Other names
Windsor House
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW J WEISHAAR (CHIEF FINANCIAL OFFICER)
(615) 550-9459
Entity
Organization
Contact information
Practice address
4411 MCALLISTER DR SW, HUNTSVILLE, AL 35805-3205
(256) 837-8585
(256) 837-2214
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
N4507
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47-57870S
—
AL
Enumeration date
10/06/2005
Last updated
04/07/2023
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