Waverly Care Home, Llc

NPI 1578865333 - Assisted Living Facility - 310400000X

NPI Details
NPI 1578865333
Enumeration Date 11/30/2010
Last Updated 11/30/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name ROBIN B ROBIN
Position OWNER
Phone (662) 494-0074
Fax
Practice Location
315 W BROAD ST
WEST POINT MS, 39773-2805, US
Phone (662) 494-0074
Fax
Business Location
315 W BROAD ST
WEST POINT MS, 39773-2805, US
Phone
Fax
Toxanomy
Taxonomy Code 310400000X
License State Mississippi
License Number 826
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According to our database, Waverly Care Home, Llc NPI is 1578865333, taxonomy code is 310400000X and license number is 826, license state is located at Mississippi. Waverly Care Home, Llc physically located at 315 W Broad St, West Point MS, 39773-2805. NPI Number 1033115704 has the healthcare provider type.

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1578865333 NPI number is provided on an as is basis without warranty of any kind. 1578865333 is maintained by the National Plan & Provider Enumeration System. The contents of Waverly Care Home, Llc are for informational purposes only.