NPI 1073311783
Wellspring Home LLC
Practice location
- Address
- 320 16th Ave N, Clinton, IA 52732-2830
- Phone
- (309) 235-1177
Authorised official
- Name
- Gikundiro Rugagaza
- Title
- Ceo
- Phone
- (309) 235-1177
Registered specialties
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1073311783
- Entity type
- Organization
- NPI issued
- 6 Mar 2025
- Record last updated
- 6 Mar 2025
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.