Healthcare Provider Details

I. General information

NPI: 1518006741
Provider Name (Legal Business Name): NEW DAY'S DAWN, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2007
Last Update Date: 08/20/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10159 MISSION GORGE RD #A
SANTEE CA
92071-3857
US

IV. Provider business mailing address

10159 MISSION GORGE RD #A
SANTEE CA
92071-3857
US

V. Phone/Fax

Practice location:
  • Phone: 619-596-4042
  • Fax: 619-596-4742
Mailing address:
  • Phone: 619-596-4916
  • Fax: 619-596-4742

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: MRS. DAWN M GIBBS
Title or Position: PRESIDENT
Credential:
Phone: 619-596-4916