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Organization

DAYSPRING SUPPORTIVE LIVING SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CALLIEGH NOEL JOHNSON (OWNER)
(218) 839-6909
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
10/26/2012
Last updated
10/26/2012
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