Provider Demographics
| NPI: | 1952112351 |
|---|---|
| Name: | WESLEY CENTER INC. |
| Entity type: | Organization |
| Organization Name: | WESLEY CENTER INC. |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | DIRECTOR |
| Authorized Official - Prefix: | MRS |
| Authorized Official - First Name: | MICHELE |
| Authorized Official - Middle Name: | RENEE |
| Authorized Official - Last Name: | LAWSON |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 402-371-7434 |
| Mailing Address - Street 1: | 500 W PHILLIP AVE |
| Mailing Address - Street 2: | |
| Mailing Address - City: | NORFOLK |
| Mailing Address - State: | NE |
| Mailing Address - Zip Code: | 68701-5252 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 402-371-7434 |
| Mailing Address - Fax: | 402-371-3995 |
| Practice Address - Street 1: | 500 W PHILLIP AVE |
| Practice Address - Street 2: | |
| Practice Address - City: | NORFOLK |
| Practice Address - State: | NE |
| Practice Address - Zip Code: | 68701-5252 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 402-371-7434 |
| Practice Address - Fax: | 402-371-3995 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2025-01-15 |
| Last Update Date: | 2025-01-15 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 385HR2060X | Respite Care Facility | Respite Care | Respite Care, Intellectual and/or Developmental Disabilities, Child |
| No | 385H00000X | Respite Care Facility | Respite Care |