Provider Demographics
NPI:1669667945
Name:WESLEY AT HOME LLC
Entity type:Organization
Organization Name:WESLEY AT HOME LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF HOSPICE
Authorized Official - Prefix:MRS
Authorized Official - First Name:CYNDI
Authorized Official - Middle Name:
Authorized Official - Last Name:ROHRET
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-271-6777
Mailing Address - Street 1:944 18TH ST
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50314-1152
Mailing Address - Country:US
Mailing Address - Phone:515-288-3334
Mailing Address - Fax:515-288-4740
Practice Address - Street 1:944 18TH ST
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50314-1152
Practice Address - Country:US
Practice Address - Phone:515-288-3334
Practice Address - Fax:515-288-4740
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-11
Last Update Date:2007-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based