Organization
DAYBREAK NURSING CENTER LLC
Active
Other names
Daybreak Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
BEN PACK SELLS (CEO)
(573) 614-7472
Entity
Organization
Contact information
Practice address
410 STATE HIGHWAY H, SIKESTON, MO 63801-5350
(573) 471-7683
(573) 471-0519
Mailing address
410 STATE HIGHWAY H, SIKESTON, MO 63801-5350
(573) 471-7683
(573) 471-0519
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050598
STATE LICENSE
MO
Enumeration date
09/22/2005
Last updated
12/28/2022
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