NPI 1225026800

Diversicare Leasing Corp.

Organisation Skilled Nursing Facility Walnut Ridge, AR

Practice location

Address: 1500 W Main St, Walnut Ridge, AR 72476-1434
Phone: (870) 886-9022
Fax: (870) 886-8001

Authorised official

Name: Raymond L. Tyler
Title: Executive Vice President and Coo
Phone: (615) 771-7575

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 539 (AR)

Other Skilled Nursing Facility providers in Arkansas →

Registry record

NPI: 1225026800
Entity type: Organization
NPI issued: 8 Oct 2005
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.