Healthcare Provider Details

I. General information

NPI: 1932755626
Provider Name (Legal Business Name): NEW DAWN NURSING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2019
Last Update Date: 08/18/2019
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

6505 MARKET ST
YOUNGSTOWN OH
44512-3457
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: BORUCH FINK
Title or Position: MANAGING MEMBER
Credential:
Phone: 330-343-5521