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Organization
WELLSPRING HOSPICE
Active
Organization
WELLSPRING HOSPICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRICO REYES (PRESIDENT/BOARD MEMBER/ADMINISTRATO)
(818) 616-3535
Entity
Organization
Contact information
Practice address
19730 VENTURA BLVD STE 25, WOODLAND HILLS, CA 91364-6301
(818) 616-3535
(818) 530-9287
Mailing address
19730 VENTURA BLVD STE 25, WOODLAND HILLS, CA 91364-6301
(818) 616-3535
(818) 530-9287
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
08/20/2014
Last updated
08/05/2020
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