Organization
WESLEY COMMUNITY SERVICES
Active
Other names
Wesley At Home
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTA STEVENS (CONTROLLER)
(515) 288-3334
Entity
Organization
Contact information
Practice address
944 18TH ST, DES MOINES, IA 50314-1152
(515) 288-3334
(515) 288-4740
Mailing address
P.O. BOX 7192, DES MOINES, IA 50309-7192
(515) 288-3334
(515) 288-4740
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0672956
—
IA
01
—
167295
HUMANA GOLD
IA
01
—
67295
WELLMARK BC/BS
IA
Enumeration date
10/10/2006
Last updated
01/15/2008
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