Provider Demographics
NPI:1699105270
Name:WELLSPRING HEALTHCARE INC
Entity type:Organization
Organization Name:WELLSPRING HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ODUSANYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-449-1133
Mailing Address - Street 1:3706 QUIET PLACE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-1219
Mailing Address - Country:US
Mailing Address - Phone:713-449-1133
Mailing Address - Fax:713-449-1133
Practice Address - Street 1:3706 QUIET PLACE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-1219
Practice Address - Country:US
Practice Address - Phone:713-449-1133
Practice Address - Fax:713-449-1133
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-19
Last Update Date:2014-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care