Organization
WELLSPRING HOME HEALTH CENTER, LLC
Active
Other names
Wellspring Home Health Center, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ERNEST IBANGA (PRESIDENT)
(706) 833-9917
Entity
Organization
Contact information
Practice address
609 S KNIK GOOSE BAY RD STE K, WASILLA, AK 99654-8079
(907) 356-3655
(907) 357-3656
Mailing address
PO BOX 872903, WASILLA, AK 99687-2903
(907) 357-3655
(907) 357-3656
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/29/2015
Last updated
06/27/2024
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