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Organization
MT PAGES LLC
Active
Organization
MT PAGES LLC
Active
Other names
Wellspring at Home
Organization subpart
No
Provider details
NPI number
Authorized official
TEY SISOWATH (ADMINISTRATOR)
(562) 551-9539
Entity
Organization
Contact information
Practice address
26322 TOWNE CENTRE DR APT 323, FOOTHILL RANCH, CA 92610-2499
(562) 551-9539
Mailing address
26322 TOWNE CENTRE DR APT 323, FOOTHILL RANCH, CA 92610-2499
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251T00000X
PACE Provider Organization
—
—
253Z00000X
In Home Supportive Care Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
01/19/2024
Last updated
02/19/2026
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