# DAYSPRING SUPPORTIVE LIVING SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699028704
- **Authorized official:** CALLIEGH NOEL JOHNSON (OWNER)
- **Authorized official phone:** (218) 839-6909

## Contact information

- **Practice address:** 42650 290TH ST, AITKIN, MN 56431-4567
- **Practice address phone:** (218) 839-6909
- **Mailing address:** 42650 290TH ST, AITKIN, MN 56431-4567

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 10/26/2012
- **Last updated:** 10/26/2012