Organization
WELLSSPRING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIGHT OWUSU AWUAH (OWNER)
(619) 581-7833
Entity
Organization
Contact information
Practice address
4378 W FEDERAL WAY, SAN TAN VALLEY, AZ 85144-5375
(619) 581-7833
Mailing address
4378 W FEDERAL WAY, SAN TAN VALLEY, AZ 85144-5375
(619) 581-7833
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
—
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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