Healthcare Provider Details

I. General information

NPI: 1114088168
Provider Name (Legal Business Name): WESLEY COMMUNITY SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2006
Last Update Date: 01/12/2024
Certification Date: 01/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3206 UNIVERSITY AVE
DES MOINES IA
50311-3820
US

IV. Provider business mailing address

944 18TH ST
DES MOINES IA
50314-1152
US

V. Phone/Fax

Practice location:
  • Phone: 515-288-3334
  • Fax:
Mailing address:
  • Phone: 515-288-3334
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: KRYSTA STEVENS
Title or Position: ACCOUNTANT
Credential:
Phone: 515-699-3367