Organization
DIVERSICARE OF SIENA WOODS, LLC
Active
Parent organization
DIVERSICARE LEASING COMPANY II, LLC
Other names
Diversicare of Siena Woods
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIVERSICARE LEASING COMPANY II, LLC
Authorized official
KELLY J GILL (PRESIDENT & CEO)
(615) 771-7575
Entity
Organization
Contact information
Practice address
6125 N MAIN ST, DAYTON, OH 45415-3110
(937) 278-8211
(937) 278-8046
Mailing address
6125 N MAIN ST, DAYTON, OH 45415-3110
(937) 278-8211
(937) 278-8046
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
09/11/2013
Last updated
09/11/2013
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