Organization
WELLSPRING CENTRALIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA WONG (CFO)
(425) 900-1108
Entity
Organization
Contact information
Practice address
1215 S TOWER AVE, CENTRALIA, WA 98531-2338
(425) 900-1108
(360) 807-4326
Mailing address
1215 S TOWER AVE, CENTRALIA, WA 98531-2338
(425) 900-1108
(360) 807-4326
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
—
—
Other
Enumeration date
06/28/2024
Last updated
06/28/2024
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