Organization
WELLSPRINGS RESIDENTIAL CARE LLC
Active
Other names
WRC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH BAFONGO-IKOMBE ZULU (FOUNDER, CEO)
(207) 756-9206
Entity
Organization
Contact information
Practice address
125 BRICKHILL AVE UNIT B15, SOUTH PORTLAND, ME 04106-2192
(207) 756-9206
Mailing address
125 BRICKHILL AVE UNIT B15, SOUTH PORTLAND, ME 04106-2192
(207) 756-9206
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
12/02/2024
Last updated
03/21/2026
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