Wellspring Centralia LLC
NPI #1063257145 in Centralia, Washington
Provider Information
- NPI Number
- 1063257145
- Entity Type
- Organization
- Organization Name
- Wellspring Centralia LLC
- Primary Specialty
- Alzheimer Center (Dementia Center)
- Enumeration Date
- Jun 28, 2024
- Last Updated
- Jun 28, 2024
Practice Location
- Address
- 1215 S TOWER AVE
- City
- Centralia
- State
- Washington
- ZIP Code
- 98531-2338
- Phone
- (425) 900-1108
Authorized Official
- Name
- TINA WONG
- Title
- CFO
- Phone
- (425) 900-1108
Specialties & Taxonomy Codes
| Specialty |
|---|
| Alzheimer Center (Dementia Center) |
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