Provider Demographics
NPI:1780724724
Name:WESLEY PARTNERS, LTD.
Entity type:Organization
Organization Name:WESLEY PARTNERS, LTD.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT(WESLEYHOUSE,INC.-GENPTNR)
Authorized Official - Prefix:
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:JORDAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-537-4116
Mailing Address - Street 1:231 QUAIL DRIVE
Mailing Address - Street 2:
Mailing Address - City:GILMER
Mailing Address - State:TX
Mailing Address - Zip Code:75645-7507
Mailing Address - Country:US
Mailing Address - Phone:903-734-1784
Mailing Address - Fax:903-734-1752
Practice Address - Street 1:231 QUAIL DRIVE
Practice Address - Street 2:
Practice Address - City:GILMER
Practice Address - State:TX
Practice Address - Zip Code:75645-7507
Practice Address - Country:US
Practice Address - Phone:903-734-1784
Practice Address - Fax:903-734-1752
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX102729310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility