Organization
WAVERLEY - IOWA, INC.
Active
Parent organization
WAVERLEY-IOWA, INC.
Other names
Grundy Care Center
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
102 E J AVE, GRUNDY CENTER, IA 50638-2031
(319) 824-5436
Mailing address
102 E J AVE, GRUNDY CENTER, IA 50638-2031
(319) 824-5436
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
380377
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0807545
—
IA
Enumeration date
11/03/2005
Last updated
07/25/2007
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