# WESLEY & EDWIN, LLC

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

## Provider details

- **NPI number:** 1881900579
- **Authorized official:** TRACEE M ASHLEY-HOLDEN (DIRECTOR)
- **Authorized official phone:** (505) 550-2642

## Contact information

- **Practice address:** 221 CONCHAS ST NE, ALBUQUERQUE, NM 87123-2703
- **Practice address phone:** (505) 550-2642
- **Practice address fax:** (267) 276-0511
- **Mailing address:** 7905 MARQUETTE AVE NE, UNIT B, ALBUQUERQUE, NM 87108-6703
- **Mailing address phone:** (505) 550-2642
- **Mailing address fax:** (267) 276-0511

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | — | — |
| 251G00000X | Community Based Hospice Care Agency | — | — | — |
| 251K00000X | Public Health or Welfare Agency | — | — | — |
| 251T00000X | PACE Provider Organization | — | — | — |
| 253Z00000X | In Home Supportive Care Agency | — | — | Yes |

## Other

- **Enumeration date:** 08/19/2010
- **Last updated:** 08/19/2010