Organization
WESLEYAN HOMES, INC.
Active
Other names
Wesleyan Hospice - Georgetown, TX
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAMIE LISTER RN., BSN (EXECUTIVE DIRECTOR)
(512) 638-8488
Entity
Organization
Contact information
Practice address
4219 WILLIAMS DR, GEORGETOWN, TX 78628-1301
(512) 863-8848
(512) 863-3117
Mailing address
4219 WILLIAMS DR, GEORGETOWN, TX 78628-1301
(512) 863-8848
(512) 863-3117
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
010524
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010524
TX HOSPICE LICENSE
TX
Enumeration date
01/09/2007
Last updated
04/14/2022
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