Provider Demographics
NPI:1891818514
Name:DAWN ENTERPRISES INC.
Entity Type:Organization
Organization Name:DAWN ENTERPRISES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:BUTLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-785-5890
Mailing Address - Street 1:PO BOX 388
Mailing Address - Street 2:280 N. CEDAR
Mailing Address - City:BLACKFOOT
Mailing Address - State:ID
Mailing Address - Zip Code:83221-0388
Mailing Address - Country:US
Mailing Address - Phone:208-785-5890
Mailing Address - Fax:208-785-3095
Practice Address - Street 1:280 CEDAR ST
Practice Address - Street 2:
Practice Address - City:BLACKFOOT
Practice Address - State:ID
Practice Address - Zip Code:83221-1600
Practice Address - Country:US
Practice Address - Phone:208-785-5890
Practice Address - Fax:208-785-3095
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care