Provider Demographics
NPI:1881232080
Name:DAWN HOUSE, INC
Entity Type:Organization
Organization Name:DAWN HOUSE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANDRIA
Authorized Official - Middle Name:
Authorized Official - Last Name:NITTINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-937-0940
Mailing Address - Street 1:PO BOX 1446
Mailing Address - Street 2:
Mailing Address - City:BAY MINETTE
Mailing Address - State:AL
Mailing Address - Zip Code:36507-1446
Mailing Address - Country:US
Mailing Address - Phone:251-937-0940
Mailing Address - Fax:251-937-0921
Practice Address - Street 1:17714 HORSENECK RD
Practice Address - Street 2:
Practice Address - City:BAY MINETTE
Practice Address - State:AL
Practice Address - Zip Code:36507-7473
Practice Address - Country:US
Practice Address - Phone:251-937-0940
Practice Address - Fax:251-937-0940
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-18
Last Update Date:2019-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services