Organization
DAY BREAK RELIEF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANCE OLWENY (PROGRAM MANAGER)
(832) 875-7416
Entity
Organization
Contact information
Practice address
2734 OCEAN PASS LN, RICHMOND, TX 77469-5687
(832) 875-7416
Mailing address
2734 OCEAN PASS LN, RICHMOND, TX 77469-5687
(832) 875-7416
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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