Waverly Care Home, LLC
NPI #1578865333 in West Point, Mississippi
Provider Information
- NPI Number
- 1578865333
- Entity Type
- Organization
- Organization Name
- Waverly Care Home, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Nov 30, 2010
- Last Updated
- Nov 30, 2010
Practice Location
- Address
- 315 W BROAD ST
- City
- West Point
- State
- Mississippi
- ZIP Code
- 39773-2805
- Phone
- (662) 494-0074
Authorized Official
- Name
- ROBIN B FOSTER
- Title
- OWNER
- Phone
- (662) 494-0074
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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