Organization
WESLEY COMMUNITY CENTER, INC
Active
Parent organization
WESLEY COMMUNITY CENTER, INC
Other names
Wesley Community & Health Centers
Organization subpart
Yes
Provider details
NPI number
Legal business name
WESLEY COMMUNITY CENTER, INC
Authorized official
BLAINE BANDI (CHIEF EXECUTIVE OFFICER)
(602) 368-9616
Entity
Organization
Contact information
Practice address
5845 E STILL CIR STE 104, MESA, AZ 85206-3635
(602) 257-4323
(602) 252-5768
Mailing address
1300 S 10TH ST, PHOENIX, AZ 85034-4516
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
11/12/2021
Last updated
11/12/2021
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