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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:

PrimaryCodeCategory/DescriptionStateLicense Number
Y314000000XNursing & Custodial Care Facilities
Skilled Nursing Facility
OH4884

Other Provider Identifiers:

IssuerNumberStateType
0770116OH05
ODH NURSING HOME LICENSE1910NOH01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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