Provider Demographics
NPI:1497412852
Name:DAYSPRING HEALTH CARE SERVICES INC.
Entity Type:Organization
Organization Name:DAYSPRING HEALTH CARE SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:OLUTOSIN
Authorized Official - Middle Name:A
Authorized Official - Last Name:OLOYADE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-438-8599
Mailing Address - Street 1:174 S 12TH ST
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07107-1417
Mailing Address - Country:US
Mailing Address - Phone:973-438-8599
Mailing Address - Fax:
Practice Address - Street 1:174 S 12TH ST
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07107-1417
Practice Address - Country:US
Practice Address - Phone:973-438-8599
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-19
Last Update Date:2021-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health