New Beginings at Waverly, LLC
Organization Active NPI Substance Abuse Rehabilitation Facility · Waverly, MN
NPI 1003914656 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1003914656
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Abuse Rehabilitation Facility 324500000X
- License
- 1003743-1-CDT (MN)
- Legal business name
- NEW BEGININGS AT WAVERLY, LLC
- Practice address
- 109 N Shore Dr
Waverly, MN 55390-5517 - Phone
- (763) 658-5800
- Fax
- (763) 658-1746
- NPI assigned
- Sep 20, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Brenda Griffin
- Title
- Controller
- Phone
- (763) 658-5222
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- New Beginings at Waverly LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | 1003743-1-CDT | MN | Yes |
Addresses
Primary practice location
109 N Shore Dr
Waverly, MN 55390-5517
Mailing address
109 N Shore Dr
Waverly, MN 55390-5517
Phone (763) 658-5800
Other providers in Waverly, MN
- Early Bird Outcomes, Inc.
- Emf Webz LLC
- Cindy Grangroth
- Candace Latanya Hanson
- Timarie Leahy
- New Beginnings at Waverly, LLC
- New Beginnings Waverly LLC
- New Beginnings Waverly LLC
- Nordell Family Services LLC
- The Elders Nest LLC
All providers in Waverly, MN · Substance Abuse Rehabilitation Facility in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.