Provider Demographics
NPI:1093011470
Name:NEW DAWN CAREGIVERS
Entity Type:Organization
Organization Name:NEW DAWN CAREGIVERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ZION
Authorized Official - Middle Name:
Authorized Official - Last Name:JACAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-414-1912
Mailing Address - Street 1:10628 WALNUT CANYON RD SW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87121-2649
Mailing Address - Country:US
Mailing Address - Phone:505-948-0730
Mailing Address - Fax:
Practice Address - Street 1:10624 WALNUT CANYON RD SW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87121-2649
Practice Address - Country:US
Practice Address - Phone:505-948-0730
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-02
Last Update Date:2011-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services