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NPI Code Detail

MEDICARE: DAYSPRING INC.

MEDICARE: DAYSPRING INC.
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
1310400000XAssisted Living FacilityMI

General Provider Information

NPI Number : 1942419650
Entity Type Code : Organization
Provider Name (Legal Business Name) : DAYSPRING INC.
Provider Business Mailing Address
First Line : 572 LAKE FOREST LN
Second Line :
City : MUSKEGON
State : MI
Zip : 49441-4714
Country : US
Telephone Number : 231-780-2229
Fax Number : 231-780-9000
Provider Business Practice Location Address
First Line : 572 LAKE FOREST LN
Second Line :
City : MUSKEGON
State : MI
Zip : 49441-4714
Country : US
Telephone Number : 231-780-2229
Fax Number : 231-780-9000
Authorized Official
Title or Position : PRESIDENT
Name : MR. RICHARD HAROLD EBELING
Credential : MPA
Telephone Number : 231-780-2229
Provider Enumeration Date : 05/21/2007
Last Update Date : 08/22/2020

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Directions to “DAYSPRING INC. ” Practice Location

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