NPI 1003914656
New Beginings at Waverly, LLC
Practice location
- Address
- 109 N Shore Dr, Waverly, MN 55390-5517
- Phone
- (763) 658-5800
- Fax
- (763) 658-1746
Authorised official
- Name
- Brenda Griffin
- Title
- Controller
- Phone
- (763) 658-5222
Registered specialties
Substance Abuse Rehabilitation Facility
Primary
Registry record
- NPI
- 1003914656
- Entity type
- Organization
- NPI issued
- 20 Sep 2006
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.