Organization
WESLEY AT HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CAL SHELANGOSKI (FINANCE DIRECTOR)
(515) 271-6896
Entity
Organization
Contact information
Practice address
944 18TH ST, DES MOINES, IA 50314-1152
(515) 288-3334
(515) 288-4740
Mailing address
5508 NW 88TH STREET, JOHNSTON, IA 50131-3005
(515) 271-6789
(515) 271-6898
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
IA
251E00000X
Home Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0672956
—
IA
01
—
67295
WELLMARK BC/BS
IA
Enumeration date
09/05/2007
Last updated
04/28/2014
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