CCN: 366451 NPI: 1316491905 Organization

LODGE AT NEW DAWN THE

3660 GREENTREE AVENUE, SW
CANTON, OH 447064024

Contact Information

Phone 3304845888
Fax 3304845246
Enumeration Date 2016-08-11
Last Updated 2016-09-30

Taxonomies

Code: 314000000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 4

cbsaActualGeographicLocation 15940

providerType 38

vbpAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 15940

providerType 38

vbpAdjustment 0.9889807821

censusDivision 4

cbsaActualGeographicLocation 15940

providerType 38

vbpAdjustment 0.9889807821

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 15940

providerType 38

specialPaymentIndicator

carrierCode 15202

localityCode 00