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General NPI Number Information
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NPI Number | 1962508069
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Entity Type | Organization
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Legal Business Name | WAVERLY CARE CENTER, INC
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Dates
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Enumeration Date | 09/15/2006
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 444 CHERRY ST
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City | WAVERLY
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State | OH
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Zip | 45690
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Country | US
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Telephone | 740-947-2113
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Fax | 740-947-1854
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Provider Business Mailing Address
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Address Line | 5475 RINGS RD STE 300
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City | DUBLIN
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State | OH
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Zip | 43017-7537
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Country | US
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Telephone | 614-451-2151
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Fax | 614-442-7040
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Authorized Official
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Title or Position | PRESIDENT
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Name | BRIANNA METTLER
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Credential |
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Telephone | 614-451-2151
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 4884
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License Number State | OH
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