Organization
THE WAVERLEY GROUP, INC.
Active
Parent organization
THE WAVERLEY GROUP, INC.
Other names
Iowa City Rehabilitation and Health Care Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE WAVERLEY GROUP, INC.
Authorized official
MR. CHAUNCEY R. DUNBAR CPA (SECRETARY / TREASURER)
(601) 956-1576
Entity
Organization
Contact information
Practice address
3661 ROCHESTER AVE, IOWA CITY, IA 52245-9271
(319) 351-7460
Mailing address
3661 ROCHESTER AVE, IOWA CITY, IA 52245-9271
(319) 351-7460
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N-052
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0359660012
PART B SUPPLIER NUMBER
IA
05
—
0806596
—
IA
Enumeration date
11/03/2005
Last updated
07/25/2007
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