Provider Demographics
NPI:1386480978
Name:WELLSPRING, INC.
Entity type:Organization
Organization Name:WELLSPRING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:VINNY
Authorized Official - Middle Name:
Authorized Official - Last Name:HARTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-925-3211
Mailing Address - Street 1:814 NANTASKET AVE
Mailing Address - Street 2:
Mailing Address - City:HULL
Mailing Address - State:MA
Mailing Address - Zip Code:02045-1533
Mailing Address - Country:US
Mailing Address - Phone:781-925-3211
Mailing Address - Fax:
Practice Address - Street 1:814 NANTASKET AVE
Practice Address - Street 2:
Practice Address - City:HULL
Practice Address - State:MA
Practice Address - Zip Code:02045-1533
Practice Address - Country:US
Practice Address - Phone:781-925-3211
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-03
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174200000XOther Service ProvidersMeals