| Wellspring Farm Llc | |
|
42 Hiller Rd Rochester MA 02770 | |
| (508) 763-5896 | |
| (508) 763-5896 |
| Full Name | Wellspring Farm Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 42 Hiller Rd, Rochester, Massachusetts |
| Authorized Official Name and Position | James Edward Vogel (FOUNDER EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5087635896 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellspring Farm Llc 42 Hiller Rd Rochester MA 02770 Ph: (508) 763-5896 | Wellspring Farm Llc 42 Hiller Rd Rochester MA 02770 Ph: (508) 763-5896 |
| NPI Number | 1730346339 |
|---|---|
| Provider Enumeration Date | 05/21/2008 |
| Last Update Date | 05/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730346339 | NPI | - | NPPES |
| WWELL001A | Other | MA | MA DMR AUTISM WAIVER NUMBER |
| 0038463 | Other | MA | COMMUNITY MEDICAL ALLIANCE |
| 1016266 | Medicaid | MA | |
| VCG000188774AD | Other | MA | MA STATE VENDOR |
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