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NPI Code Detail

MEDICARE: DT DAYTON, LLC

MEDICARE: DT DAYTON, LLC
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
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1346856457
Entity Type Code : Organization
Provider Name (Legal Business Name) : DT DAYTON, LLC
Provider Business Mailing Address
First Line : 310 E LAWRENCE ST
Second Line :
City : DAYTON
State : TX
Zip : 77535-1805
Country : US
Telephone Number : 936-258-7227
Fax Number : 936-258-7223
Provider Business Practice Location Address
First Line : 310 E LAWRENCE ST
Second Line :
City : DAYTON
State : TX
Zip : 77535-1805
Country : US
Telephone Number : 936-258-7227
Fax Number : 936-258-7223
Authorized Official
Title or Position : MANAGER
Name : CLAYTON BRUMMETT
Credential :
Telephone Number : 936-258-7227
Provider Enumeration Date : 09/23/2020
Last Update Date : 01/08/2026

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Directions to “DT DAYTON, LLC ” Practice Location

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