Organization
WESLEY HEALTHCARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEE M. PENSE (ADMINISTRATOR)
(260) 925-5494
Entity
Organization
Contact information
Practice address
1751 WESLEY RD, AUBURN, IN 46706-3647
(260) 925-5494
(260) 927-2267
Mailing address
1751 WESLEY RD, AUBURN, IN 46706-3647
(260) 925-5494
(260) 925-6183
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
07-000307-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100285660D
—
IN
Enumeration date
04/14/2007
Last updated
06/25/2013
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