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
1	310400000X	Assisted Living Facility		MI

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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