Wesley Homes Des Moines LLC
NPI #1568450807 in Des Moines, Washington
Provider Information
- NPI Number
- 1568450807
- Entity Type
- Organization
- Organization Name
- Wesley Homes Des Moines LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Oct 11, 2005
- Last Updated
- Aug 2, 2007
Practice Location
- Address
- 1122 S 216TH ST
- City
- Des Moines
- State
- Washington
- ZIP Code
- 98198-8301
- Phone
- (206) 870-1345
Authorized Official
- Name
- MR. MARK C GUSTAFSON
- Title
- CAMPUS ADMINISTRATOR
- Phone
- (206) 870-1300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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