Provider Demographics
NPI:1467719039
Name:WESLEY PARTNERS, LTD.
Entity Type:Organization
Organization Name:WESLEY PARTNERS, LTD.
Other - Org Name:WESLEY HOUSE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LIMITED PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:G
Authorized Official - Last Name:JORDAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-537-4116
Mailing Address - Street 1:PO BOX 612
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:TX
Mailing Address - Zip Code:75457-0612
Mailing Address - Country:US
Mailing Address - Phone:903-537-4116
Mailing Address - Fax:903-270-6227
Practice Address - Street 1:1044 CHURCH ST
Practice Address - Street 2:
Practice Address - City:SULPHUR SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:75482-2272
Practice Address - Country:US
Practice Address - Phone:903-439-0529
Practice Address - Fax:903-439-0549
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-19
Last Update Date:2012-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)