Healthcare Provider Details

I. General information

NPI: 1841294832
Provider Name (Legal Business Name): NEW DAWN HEALTH CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2005
Last Update Date: 11/28/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

865 E IRON AVE
DOVER OH
44622-2099
US

IV. Provider business mailing address

865 E IRON AVE
DOVER OH
44622-2099
US

V. Phone/Fax

Practice location:
  • Phone: 330-343-5521
  • Fax: 330-343-5526
Mailing address:
  • Phone: 330-343-5521
  • Fax: 330-343-5526

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number2515
License Number StateOH

VIII. Authorized Official

Name: MR. PERRY LYNN HERSHBERGER
Title or Position: ADMINISTRATOR
Credential:
Phone: 330-343-5521