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General NPI Number Information
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NPI Number | 1548538283
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Entity Type | Organization
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Legal Business Name | WESLEYAN HOMES, INC.
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Dates
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Enumeration Date | 12/08/2011
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Last Update Date | 07/01/2022
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Provider Practice Location Address
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Address Line | 109 ESTRELLA CROSSING
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City | GEORGETOWN
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State | TX
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Zip | 78628-6973
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Country | US
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Telephone | 512-863-2528
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Fax | 512-869-2687
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Provider Business Mailing Address
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Address Line | 109 ESTRELLA CROSSING
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City | GEORGETOWN
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State | TX
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Zip | 78628-6973
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Country | US
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Telephone | 512-943-9804
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Fax | 512-869-2687
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Authorized Official
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Title or Position | REVENUE CYCLE DIRECTOR
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Name | JUDE A MAHLER
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Credential |
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Telephone | 512-868-1205
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 104746
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License Number State | TX
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