CMS Certification Number (CCN): 285143
Address: 11041 NORTH 137TH ST, WAVERLY, NE, 68462
Telephone: 4027862626
Ownership Type: For profit - Corporation
Number of Certified Beds: 54
Average Number of Residents per Day: 44.9
Provider Type: nan
Overall Rating: Yes
Most Recent Health Inspection: N
Legal Business Name: N
Date First Approved: MULBERRY AT WAVERLY LLC
Affiliated Entity: 1994-06-01
CMS State Operations Manual: Link
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