Healthcare Provider Details

I. General information

NPI: 1063451953
Provider Name (Legal Business Name): DAWSON POINTE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

213 WATER ST
DAWSON SPRINGS KY
42408-1727
US

IV. Provider business mailing address

213 WATER ST
DAWSON SPRINGS KY
42408-1727
US

V. Phone/Fax

Practice location:
  • Phone: 270-797-2025
  • Fax: 270-797-5768
Mailing address:
  • Phone: 270-797-2025
  • Fax: 270-797-5768

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number100188
License Number StateKY

VIII. Authorized Official

Name: MR. DANNY FRANCES
Title or Position: CEO/OWNER
Credential:
Phone: 270-886-5441