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General NPI Number Information
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NPI Number | 1518809292
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Entity Type | Organization
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Legal Business Name | DAYBREAK VILLAGE INC
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Dates
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Enumeration Date | 04/09/2026
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Last Update Date | 04/09/2026
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Provider Practice Location Address
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Address Line | 210 E 12TH ST
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City | GREGORY
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State | SD
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Zip | 57533-1181
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Country | US
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Telephone | 605-835-9717
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Fax |
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Provider Business Mailing Address
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Address Line | 210 E 12TH ST
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City | GREGORY
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State | SD
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Zip | 57533-1181
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Country | US
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Telephone | 605-835-9717
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Fax |
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Authorized Official
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Title or Position | ACCOUNTANT
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Name | RENEE M HOLZER
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Credential |
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Telephone | 605-842-0806
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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