Provider Demographics
NPI:1609390012
Name:7 DAWN ENTERPRISE LLC
Entity Type:Organization
Organization Name:7 DAWN ENTERPRISE LLC
Other - Org Name:7 DAWN CLIENT CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TAKIA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-868-6017
Mailing Address - Street 1:550 N MAIN ST STE 207C
Mailing Address - Street 2:
Mailing Address - City:DUNCANVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75116-3660
Mailing Address - Country:US
Mailing Address - Phone:469-868-6017
Mailing Address - Fax:
Practice Address - Street 1:550 N MAIN ST STE 207C
Practice Address - Street 2:
Practice Address - City:DUNCANVILLE
Practice Address - State:TX
Practice Address - Zip Code:75116-3660
Practice Address - Country:US
Practice Address - Phone:469-868-6017
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-27
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care