NPI 1063257145
Wellspring Centralia LLC
Practice location
- Address
- 1215 S Tower Ave, Centralia, WA 98531-2338
- Phone
- (425) 900-1108
- Fax
- (360) 807-4326
Authorised official
- Name
- Tina Wong
- Title
- Cfo
- Phone
- (425) 900-1108
Registered specialties
Alzheimer Center (Dementia Center)
Primary
Registry record
- NPI
- 1063257145
- Entity type
- Organization
- NPI issued
- 28 Jun 2024
- Record last updated
- 28 Jun 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.