Healthcare Provider Details
I. General information
NPI: 1932749850
Provider Name (Legal Business Name): DAYBREAK, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/08/2020
Last Update Date: 03/13/2025
Certification Date: 03/13/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2001 OAKWOOD LN
ABILENE TX
79605-5751
US
IV. Provider business mailing address
4150 INTERNATIONAL PLZ STE 820
FORT WORTH TX
76109-4836
US
V. Phone/Fax
- Phone: 800-299-5161
- Fax:
- Phone: 800-299-5161
- Fax: 817-447-3033
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 315P00000X |
| Taxonomy | Intellectual Disabilities Intermediate Care Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BRANDI
TURNER
Title or Position: LICENSING COORDINATOR
Credential:
Phone: 682-707-2756