WAVERLY HEIGHTS, LTD.
Assisted Living Facility
Gladwyne, Pennsylvania
Provider NPI: 1255329918
Organization Information:Organization Name: WAVERLY HEIGHTS, LTD.
Practice Location:
1400 WAVERLY RD GLADWYNE, PA 19035 US
Tel: 610-645-8600 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:
1400 WAVERLY RD GLADWYNE, PA 19035 US
Tel: 610-645-8600 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | PA | A45290 |
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | PA | 233402 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
BC PROVIDER NUMBER | 6138 | PA | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin