Provider Demographics
NPI:1750773024
Name:NEW DAWN ADULT DAYCARE LLC
Entity type:Organization
Organization Name:NEW DAWN ADULT DAYCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:TOM
Authorized Official - Middle Name:
Authorized Official - Last Name:OZGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-441-2557
Mailing Address - Street 1:10300 HERITAGE ST
Mailing Address - Street 2:# 101
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-3920
Mailing Address - Country:US
Mailing Address - Phone:210-263-9124
Mailing Address - Fax:
Practice Address - Street 1:10300 HERITAGE ST
Practice Address - Street 2:# 101
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-3920
Practice Address - Country:US
Practice Address - Phone:210-263-9124
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-24
Last Update Date:2015-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care