Organization
WELLSPRINGS HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE DENNIS RN (OWNER)
(410) 907-0622
Entity
Organization
Contact information
Practice address
6340 SECURITY BLVD STE 100, BALTIMORE, MD 21207-5284
(410) 907-0622
(667) 239-1001
Mailing address
6340 SECURITY BLVD STE 100, BALTIMORE, MD 21207-5284
(410) 907-0622
(667) 239-1001
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
—
163WP0200X
Pediatric Registered Nurse
—
—
171M00000X
Case Manager/Care Coordinator
—
—
225X00000X
Occupational Therapist
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
08/02/2019
Last updated
07/24/2024
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