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NPI Code Detail

MEDICARE: DAYBREAK, INC.

MEDICARE: DAYBREAK, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency0051OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1346215639
Entity Type Code : Organization
Provider Name (Legal Business Name) : DAYBREAK, INC.
Provider Business Mailing Address
First Line : 605 S PATTERSON BLVD
Second Line :
City : DAYTON
State : OH
Zip : 45402-2649
Country : US
Telephone Number : 937-395-4600
Fax Number : 937-395-4610
Provider Business Practice Location Address
First Line : 605 S PATTERSON BLVD
Second Line :
City : DAYTON
State : OH
Zip : 45402-2649
Country : US
Telephone Number : 937-395-4600
Fax Number : 937-461-6582
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MS. LINDA L KRAMER
Credential :
Telephone Number : 937-395-4600
Provider Enumeration Date : 02/21/2006
Last Update Date : 04/18/2016

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