Provider Demographics
NPI:1902497852
Name:DAWNING OF A NEW DAY LLC
Entity type:Organization
Organization Name:DAWNING OF A NEW DAY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:LYNETTE
Authorized Official - Last Name:WASHINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-316-6199
Mailing Address - Street 1:342 CRESTWOOD AVE # 2
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14216-1842
Mailing Address - Country:US
Mailing Address - Phone:171-631-6619
Mailing Address - Fax:
Practice Address - Street 1:342 CRESTWOOD AVE # 2
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14216-1842
Practice Address - Country:US
Practice Address - Phone:171-631-6619
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-02
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health