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Organization

WELLSPRING HOME LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GIKUNDIRO RUGAGAZA (CEO)
(309) 235-1177
Entity
Organization

Contact information

Practice address
320 16TH AVE N, CLINTON, IA 52732-2830
(309) 235-1177
Mailing address
320 16TH AVE N, CLINTON, IA 52732-2830
(309) 235-1177

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary

Other

Enumeration date
03/06/2025
Last updated
03/06/2025
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