Healthcare Provider Details

I. General information

NPI: 1649763574
Provider Name (Legal Business Name): DAYSPRING CONSULTING GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2018
Last Update Date: 06/14/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 S DUPONT HWY STE 101
DOVER DE
19901-3778
US

IV. Provider business mailing address

PO BOX 1684
DOVER DE
19903-1684
US

V. Phone/Fax

Practice location:
  • Phone: 302-853-0763
  • Fax:
Mailing address:
  • Phone: 302-853-0763
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. FELICIA DORMAN
Title or Position: EXECUTIVE DIRECTOR OF CAREER EDUCAT
Credential: MSM, HRM
Phone: 302-853-0763