NPI | 1316491905 |
---|---|
Doing Business As | THE LODGE AT NEW DAWN |
Entity Type | Organization |
Authorized Contact | DANNIE HERSHBERGER President 330-343-5521 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Enumeration Date | 2016-08-11 |
Last Update Date | 2016-09-30 |