Organization · Type 2 NPI

Diversicare Leasing Corp.

Skilled Nursing Facility · Conway, AR

NPI number 1104814771 Active

Practice location

2603 Dave Ward Dr
Conway, AR 72034-6771

Fax (501) 329-4916

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000X534 (AR)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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About NPI 1104814771

Diversicare Leasing Corp.'s National Provider Identifier is 1104814771, issued on Oct 7, 2005. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Conway, AR. The record was last updated on Aug 22, 2020.