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Waverly 1 Inc
Skilled Nursing Facility in Waverly, Missouri
NPI 1134157191

Waverly 1 Inc is a Skilled Nursing Facility based in Sikeston, MO. Waverly 1 Inc practices in Waverly, MO. The NPI Number for Waverly 1 Inc is 1134157191 and holds a License No. 045823 (Missouri).

The current practice location address for Waverly 1 Inc is 100 West Thomas Drive, Waverly, MO and can be reached out via phone at 660-493-2232 and via fax at 660-493-2239.

Location: 100 West Thomas Drive, Waverly, MO, 63801-1210
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134157191
Provider Name
Waverly 1 Inc
Credential
Provider Entity Type
Organization
Address
100 West Thomas Drive, Waverly, MO, 63801-1210
Phone Number
660-493-2232
Fax Number
660-493-2239
Provider Enumeration Date
06/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
101457703 05 MO
institution
Provider Business Practice Location Address Details
Address
100 West Thomas Drive
City
Waverly
State
Missouri
Zip
64096-9143
Phone Number
660-493-2232
Fax Number
660-493-2239
person
Provider Business Mailing Address Details
Address
100 West Thomas Drive
City
Waverly
State
Missouri
Zip
64096-9143
Phone Number
660-493-2232
Fax Number
660-493-2239
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
045823 (Missouri)
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
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