# WAVERLY HEIGHTS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Waverly Heights, Ltd.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255329918
- **Authorized official:** THOMAS P GARVIN (PRESIDENT & CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (610) 645-8607

## Contact information

- **Practice address:** 1400 WAVERLY RD, GLADWYNE, PA 19035-1254
- **Practice address phone:** (610) 645-8600
- **Practice address fax:** (610) 645-8611
- **Mailing address:** 1400 WAVERLY RD, GLADWYNE, PA 19035-1254
- **Mailing address phone:** (610) 645-8600
- **Mailing address fax:** (610) 645-8611

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | A45290 | PA | — |
| 314000000X | Skilled Nursing Facility | 233402 | PA | Yes |

## Other

- **Enumeration date:** 10/07/2005
- **Last updated:** 07/20/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 6138 | BC PROVIDER NUMBER | PA |