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NPI Code Detail

MEDICARE: SL WELLSPRING LLC

MEDICARE: SL WELLSPRING LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility520026OH
2310400000XAssisted Living Facility520026OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1520026OTHEROHCITY LICENSURE

General Provider Information

NPI Number : 1144220393
Entity Type Code : Organization
Provider Name (Legal Business Name) : SL WELLSPRING LLC
Provider Business Mailing Address
First Line : 230 W GALBRAITH RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45215-5223
Country : US
Telephone Number : 513-948-2308
Fax Number :
Provider Business Practice Location Address
First Line : 230 W GALBRAITH RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45215-5223
Country : US
Telephone Number : 513-948-2308
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : LORI J WARD
Credential : LNHA
Telephone Number : 513-948-2308
Provider Enumeration Date : 07/29/2005
Last Update Date : 09/11/2025

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Directions to “SL WELLSPRING LLC ” Practice Location

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