Organization
WAVERLEY - IOWA, INC.
Active
Parent organization
WAVERLEY-IOWA, INC
Other names
Colonial Manor of Anita
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAVERLEY-IOWA, INC
Authorized official
MR. CHAUNCEY R. DUNBAR CPA (SECRETARY / TREASURER)
(601) 956-1576
Entity
Organization
Contact information
Practice address
1000 HILLCREST DR, ANITA, IA 50020-1027
(712) 762-3219
Mailing address
1000 HILLCREST DR, ANITA, IA 50020-1027
(712) 762-3219
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
150366
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0807503
—
IA
Enumeration date
11/03/2005
Last updated
07/24/2007
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