Healthcare Provider Details

I. General information

NPI: 1437067063
Provider Name (Legal Business Name): WESLEY HOUSE TERRELL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 POETRY ROAD
TERRELL TX
75160
US

IV. Provider business mailing address

PO BOX 612
MOUNT VERNON TX
75457-0612
US

V. Phone/Fax

Practice location:
  • Phone: 903-537-4522
  • Fax: 903-270-6227
Mailing address:
  • Phone: 903-537-4522
  • Fax: 903-270-6227

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: JOSH JORDAN
Title or Position: MANAGING MEMBER
Credential:
Phone: 903-537-4522