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Organization
WELLSPRING HOSPICE
Active
Organization
WELLSPRING HOSPICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRICO REYES (PRESIDENT)
(818) 415-9619
Entity
Organization
Contact information
Practice address
14640 VICTORY BLVD STE 215, VAN NUYS, CA 91411-1623
(818) 415-9619
(818) 530-9287
Mailing address
14640 VICTORY BLVD STE 215, VAN NUYS, CA 91411-1623
(818) 415-9619
(818) 530-9287
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
11/11/2013
Last updated
11/11/2013
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