Provider Demographics
NPI:1194535229
Name:ANOTHER DAWN LLC
Entity type:Organization
Organization Name:ANOTHER DAWN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ONTOUA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-290-9631
Mailing Address - Street 1:8603 N 22ND AVE APT 220
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85021-4276
Mailing Address - Country:US
Mailing Address - Phone:267-290-9631
Mailing Address - Fax:
Practice Address - Street 1:8603 N 22ND AVE APT 220
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85021-4276
Practice Address - Country:US
Practice Address - Phone:267-290-9631
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-10
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health