Organization
WAVERLEY - MAPLE MANOR, INC.
Active
Other names
Osage Rehabilitation and Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHAUNCEY R. DUNBAR CPA (SECRETARY / TREASURER)
(601) 956-1576
Entity
Organization
Contact information
Practice address
830 S 5TH ST, OSAGE, IA 50461-1919
(641) 732-5520
Mailing address
830 S 5TH ST, OSAGE, IA 50461-1919
(641) 732-5520
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
660171
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0807024
—
IA
Enumeration date
11/01/2005
Last updated
07/25/2007
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