Organization
WAVERLY SENIOR LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONAK PATEL (MANAGER)
(847) 370-6328
Entity
Organization
Contact information
Practice address
105 PLUM RUN, LE SUEUR, MN 56058-2188
(847) 370-6328
Mailing address
105 PLUM RUN, LE SUEUR, MN 56058-2188
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
11/04/2025
Last updated
11/04/2025
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