Organization
DIVERSICARE OF COUNCIL GROVE LLC
Active
Parent organization
DIVERSICARE KANSAS LLC
Other names
Diversicare of Council Grove
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIVERSICARE KANSAS LLC
Authorized official
MATTHEW J WEISHAAR (CHIEF FINANCIAL OFFICER)
(615) 550-9459
Entity
Organization
Contact information
Practice address
400 SUNSET DR, COUNCIL GROVE, KS 66846-1554
(620) 767-5172
(620) 767-6622
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
—
—
Other
Enumeration date
03/04/2013
Last updated
04/07/2023
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