# WESLEY MANOR RETIREMENT COMMUNITY INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780661868
- **Authorized official:** MR. MARK GREGORY STEPHENS (VP ADMIN CFO)
- **Authorized official phone:** (502) 969-3277

## Contact information

- **Practice address:** 5012 E MANSLICK RD, LOUISVILLE, KY 40219-5165
- **Practice address phone:** (502) 969-3277
- **Practice address fax:** (502) 969-3270
- **Mailing address:** 5012 E MANSLICK RD, LOUISVILLE, KY 40219-5165
- **Mailing address phone:** (502) 969-3277
- **Mailing address fax:** (502) 969-3270

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 100230 | KY | Yes |

## Other

- **Enumeration date:** 12/29/2005
- **Last updated:** 03/07/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 12500609 | — | KY |