Organization
DAYBREAK, INC.
Active
Other names
Devonshire Home
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN PENKALA (DIRECTOR OF CREDENTIALING)
(817) 289-8450
Entity
Organization
Contact information
Practice address
1225 DEVONSHIRE DR, DESOTO, TX 75115-3757
(800) 299-5161
(817) 447-3033
Mailing address
4150 INTERNATIONAL PLZ STE 820, FORT WORTH, TX 76109-4836
(817) 289-8450
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00104131
ICF LICENSE
TX
Enumeration date
09/21/2009
Last updated
12/16/2025
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