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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

C10202017363071

Active Organization

C10202017363071 is a Substance Abuse Rehabilitation Facility organization located in WAVERLY, Minnesota. NPI 1134630734 is currently active in the NPPES registry. Verify at CMS.

Substance Abuse Rehabilitation Facility · WAVERLY, MN

Registration Details

NPI Number
1134630734
Provider Type
Organization
NPI Issued
Oct 23, 2017 (8.821134992134 yrs)
Last Updated
Feb 21, 2025

Practice Information

Address
109 N SHORE DR
WAVERLY, MN, 55390
Browse MN providers · Browse ZIP 55390
Phone
7636585800
Fax
7636584128
Primary Specialty
Substance Abuse Rehabilitation Facility
324500000X

Other Substance Abuse Rehabilitation Facility Organizations in WAVERLY, MN

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.