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NPI Code Detail

MEDICARE: DAC OF MARION, LLC

MEDICARE: DAC OF MARION, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
101-5158OTHERALMEDICARE - PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1669115309
Entity Type Code : Organization
Provider Name (Legal Business Name) : DAC OF MARION, LLC
Provider Business Mailing Address
First Line : 1621 GALLERIA BLVD
Second Line :
City : BRENTWOOD
State : TN
Zip : 37027-2926
Country : US
Telephone Number : 615-550-9453
Fax Number : 615-915-6935
Provider Business Practice Location Address
First Line : 505 E LAFAYETTE ST
Second Line :
City : MARION
State : AL
Zip : 36756-2323
Country : US
Telephone Number : 334-683-9696
Fax Number :
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : MATTHEW J. WEISHAAR
Credential :
Telephone Number : 615-550-9459
Provider Enumeration Date : 04/20/2022
Last Update Date : 04/07/2023

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Directions to “DAC OF MARION, LLC ” Practice Location

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