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Organization

WELLSPRING HEALTHCARE SERVICES, INC.

Active
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Organization

WELLSPRING HEALTHCARE SERVICES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LEO LANDAVERDE (PRESIDENT)
(800) 418-9319
Entity
Organization

Contact information

Practice address
16713 ROSCOE BLVD, NORTH HILLS, CA 91343-6110
(800) 418-9319
(800) 861-3759
Mailing address
16713 ROSCOE BLVD, NORTH HILLS, CA 91343-6110
(800) 418-9319
(800) 861-3759

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—

Other

Enumeration date
05/01/2009
Last updated
02/02/2010
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