WAVERLY CARE CENTER, INC
Assisted Living Facility
Waverly, Ohio
Provider NPI: 1962508069
Organization Information:Organization Name: WAVERLY CARE CENTER, INC
Practice Location:
444 CHERRY ST WAVERLY, OH 45690 US
Tel: 740-947-2113 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
444 CHERRY ST WAVERLY, OH 45690 US
Tel: 740-947-2113 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | OH | 4884 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
0770116 | OH | 05 | |
ODH NURSING HOME LICENSE | 1910N | OH | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin