Provider Demographics
NPI:1386793891
Name:WESLEY SENIOR SERVICES
Entity type:Organization
Organization Name:WESLEY SENIOR SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:RICKARD
Authorized Official - Middle Name:
Authorized Official - Last Name:BERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-363-2600
Mailing Address - Street 1:2202 TIMBERLOCH PL STE 200
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-1177
Mailing Address - Country:US
Mailing Address - Phone:281-363-2600
Mailing Address - Fax:281-292-6360
Practice Address - Street 1:2202 TIMBERLOCH PL STE 200
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-1177
Practice Address - Country:US
Practice Address - Phone:281-363-2600
Practice Address - Fax:281-292-6360
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based