Organization
WESLEY & EDWIN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEE M ASHLEY-HOLDEN (DIRECTOR)
(505) 550-2642
Entity
Organization
Contact information
Practice address
221 CONCHAS ST NE, ALBUQUERQUE, NM 87123-2703
(505) 550-2642
(267) 276-0511
Mailing address
7905 MARQUETTE AVE NE, UNIT B, ALBUQUERQUE, NM 87108-6703
(505) 550-2642
(267) 276-0511
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251T00000X
PACE Provider Organization
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/19/2010
Last updated
08/19/2010
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