Healthcare Provider Details

I. General information

NPI: 1346856457
Provider Name (Legal Business Name): DT DAYTON, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2020
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 E LAWRENCE ST
DAYTON TX
77535-1805
US

IV. Provider business mailing address

310 E LAWRENCE ST
DAYTON TX
77535-1805
US

V. Phone/Fax

Practice location:
  • Phone: 936-258-7227
  • Fax: 936-258-7223
Mailing address:
  • Phone: 936-258-7227
  • Fax: 936-258-7223

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: CLAYTON BRUMMETT
Title or Position: MANAGER
Credential:
Phone: 936-258-7227