Organization
DAWN'S EARLY LIGHT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN M PASCH C.N.A. (OWNER/ MANAGER)
12629480145
Entity
Organization
Contact information
Practice address
5316 73RD ST, KENOSHA, WI 53142-3667
(262) 948-0145
Mailing address
5316 73RD ST, KENOSHA, WI 53142-3667
(262) 948-0145
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
D055836
WI
Other
Enumeration date
01/13/2016
Last updated
01/13/2016
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