Organization
WELLSPRING REHABILITATION SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA A EVANS MSCCCSLP (PRESIDENT)
(812) 760-0709
Entity
Organization
Contact information
Practice address
255 W MAIN ST APT E, ISLAND, KY 42350-2179
(812) 760-7090
(812) 205-2425
Mailing address
1124 SE 1ST ST, EVANSVILLE, IN 47713-1322
(812) 760-0709
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100593640
—
KY
Enumeration date
01/12/2015
Last updated
03/18/2021
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