Organization
WAVERLY CARE CENTER, INC
Active
Other names
National Church Residences Bristol Village
Organization subpart
No
Provider details
NPI number
Authorized official
BRIANNA METTLER (PRESIDENT)
(614) 451-2151
Entity
Organization
Contact information
Practice address
444 CHERRY ST, WAVERLY, OH 45690
(740) 947-2113
(740) 947-1854
Mailing address
5475 RINGS RD STE 300, DUBLIN, OH 43017-7537
(614) 451-2151
(614) 442-7040
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
4884
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0770116
—
OH
01
—
1910N
ODH NURSING HOME LICENSE
OH
Enumeration date
09/15/2006
Last updated
10/29/2025
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