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General NPI Number Information
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NPI Number | 1750267217
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Entity Type | Organization
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Legal Business Name | DAYSPRING PEACEFUL COMMUNITY INC.
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Dates
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Enumeration Date | 08/12/2025
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 18221 TORRENCE AVE STE 1C
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City | LANSING
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State | IL
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Zip | 60438-2870
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Country | US
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Telephone | 773-592-6026
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Fax | 708-832-0741
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Provider Business Mailing Address
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Address Line | 18221 TORRENCE AVE STE 1C
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City | LANSING
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State | IL
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Zip | 60438-2870
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Country | US
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Telephone | 773-592-6026
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Fax | 708-832-0741
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. NDIDI PATIENCE OBIALOR
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Credential | NURSE-RN
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Telephone | 773-592-6026
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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