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General NPI Number Information
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NPI Number | 1043558034
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Entity Type | Organization
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Legal Business Name | WELLSPRING HOMECARE SERVICES, INC.
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Dates
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Enumeration Date | 01/25/2013
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Last Update Date | 01/25/2013
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Provider Practice Location Address
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Address Line | 10 POST OFFICE SQ 8TH FLOOR
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City | BOSTON
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State | MA
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Zip | 02109-4603
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Country | US
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Telephone | 877-331-3553
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Fax | 508-587-0861
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Provider Business Mailing Address
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Address Line | 10 POST OFFICE SQ 8TH FLOOR
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City | BOSTON
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State | MA
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Zip | 02109-4603
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Country | US
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Telephone | 877-331-3553
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Fax | 508-587-0861
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Authorized Official
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Title or Position | PRESIDENT
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Name | CONDASE WEEKES-BEST
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Credential |
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Telephone | 617-680-5779
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 8284
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License Number State | MA
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