NPI 1831644822

Diversicare of Brookhaven, LLC

Organisation Skilled Nursing Facility Brookhaven, MS

Practice location

Address: 519 Brookman Dr, Brookhaven, MS 39601-2326
Phone: (601) 833-2881
Fax: (601) 833-2360
Mailing address: 1621 Galleria Blvd, Brentwood, TN 37027-2926

Authorised official

Name: Matthew J Weishaar
Title: Chief Financial Officer
Phone: (615) 550-9459

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 377 (MS)

Other Skilled Nursing Facility providers in Mississippi →

Registry record

NPI: 1831644822
Entity type: Organization
NPI issued: 18 Aug 2016
Record last updated: 7 Apr 2023

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.