Organization
WESLEY HEALTH CARE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA ABIEMWENSE PATRICK (ADMINISTRATOR)
(678) 462-4447
Entity
Organization
Contact information
Practice address
1933 PORTWEST WAY, HAMPTON, GA 30228-3265
(678) 462-4447
Mailing address
1933 PORTWEST WAY, HAMPTON, GA 30228-3265
(678) 462-4447
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
031-R-0697
GA
253Z00000X
In Home Supportive Care Agency
031-R-0697
GA
Other
Enumeration date
11/15/2011
Last updated
11/15/2011
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