Organization
DIVERSICARE OF HUEYTOWN, LLC
Active
Parent organization
DIVERSICARE HEALTHCARE SERVICES LLC
Other names
Baron House of Hueytown
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIVERSICARE HEALTHCARE SERVICES LLC
Authorized official
MATTHEW J. WEISHAAR (CHIEF FINANCIAL OFFICER & SECRETARY)
(615) 771-7575
Entity
Organization
Contact information
Practice address
190 BROOKLANE DR, HUEYTOWN, AL 35023-2368
(205) 491-2905
(615) 620-7875
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
—
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
199000
—
AL
Enumeration date
08/18/2016
Last updated
04/07/2023
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