Provider Demographics
NPI:1821440033
Name:DAY SPRING WHOLE LIFE
Entity Type:Organization
Organization Name:DAY SPRING WHOLE LIFE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISED LIVING
Authorized Official - Prefix:MR
Authorized Official - First Name:DARYL
Authorized Official - Middle Name:LEVONNE
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:LICENSE AFL
Authorized Official - Phone:252-917-0268
Mailing Address - Street 1:3145 PACOLET DR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-6040
Mailing Address - Country:US
Mailing Address - Phone:252-917-0268
Mailing Address - Fax:
Practice Address - Street 1:3145 PACOLET DR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-6040
Practice Address - Country:US
Practice Address - Phone:252-917-0268
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-12
Last Update Date:2016-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL074249253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care