Provider Demographics
NPI:1609197821
Name:DAWN-RA CORP
Entity Type:Organization
Organization Name:DAWN-RA CORP
Other - Org Name:ORANGE HEALTH CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:ANDREE
Authorized Official - Middle Name:
Authorized Official - Last Name:ACAMPORA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-795-0835
Mailing Address - Street 1:225 BOSTON POST RD
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CT
Mailing Address - Zip Code:06477-3208
Mailing Address - Country:US
Mailing Address - Phone:203-795-0835
Mailing Address - Fax:203-795-0836
Practice Address - Street 1:225 BOSTON POST RD
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CT
Practice Address - Zip Code:06477-3208
Practice Address - Country:US
Practice Address - Phone:203-795-0835
Practice Address - Fax:203-795-0836
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-22
Last Update Date:2010-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT2361314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility