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Organization

DAWN OF HOPE, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEVE COX (CHIEF EXECUTIVE OFFICER)
(423) 434-5600
Entity
Organization

Contact information

Practice address
500 E OAKLAND AVE, JOHNSON CITY, TN 37601-3465
(423) 434-5600
(423) 975-6976
Mailing address
P.O. BOX 30, JOHNSON CITY, TN 37605-0030
(423) 434-5600
(423) 975-6976

Taxonomy

Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
L000000008390
TN
343900000X
Non-emergency Medical Transport (VAN)
L000000008390
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00137
TN
01
L000000022077
STATE OF TENNESSEE - DIDD
TN
01
PSS0000000017
STATE OF TENNESSEE - DEPARTMENT OF HEALTH
TN
Enumeration date
12/08/2011
Last updated
11/13/2023
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