Provider Demographics
NPI:1063646909
Name:DAWN CENTER FOR INDEPENDENT LIVING, INC.
Entity Type:Organization
Organization Name:DAWN CENTER FOR INDEPENDENT LIVING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARMELA
Authorized Official - Middle Name:
Authorized Official - Last Name:SLIVINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-625-1940
Mailing Address - Street 1:66 FORD ROAD
Mailing Address - Street 2:SUITE 121
Mailing Address - City:DENVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07834-1236
Mailing Address - Country:US
Mailing Address - Phone:973-625-1940
Mailing Address - Fax:973-625-1942
Practice Address - Street 1:66 FORD RD STE 121
Practice Address - Street 2:
Practice Address - City:DENVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07834-1300
Practice Address - Country:US
Practice Address - Phone:973-625-1940
Practice Address - Fax:973-625-1942
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-06
Last Update Date:2020-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management