Provider Demographics
NPI:1346597754
Name:WESLEY RIDGE RESIDENCE CORPORATION
Entity Type:Organization
Organization Name:WESLEY RIDGE RESIDENCE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:WEHNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-888-7492
Mailing Address - Street 1:5155 N HIGH ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-1525
Mailing Address - Country:US
Mailing Address - Phone:614-888-7492
Mailing Address - Fax:
Practice Address - Street 1:2225 TAYLOR PARK DR
Practice Address - Street 2:
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-8039
Practice Address - Country:US
Practice Address - Phone:614-759-0023
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:METHODIST ELDERCARE SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-08-06
Last Update Date:2012-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility