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Organization

GREENBREAK, INC.

Active
Other names
Daybreak
Organization subpart
No

Provider details

NPI number
Authorized official
ANNA TODD (OPERATIONS BUSINESS MANAGER)
(800) 299-5161
Entity
Organization

Contact information

Practice address
234 BARRY LN, LANCASTER, TX 75146-2204
(800) 299-5161
(817) 447-3033
Mailing address
4800 OVERTON PLZ STE 440, FORT WORTH, TX 76109-4435
(800) 299-5161
(817) 447-3033

Taxonomy

Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000394702
CONTRACT #
TX
01
003947
CONTRACT
TX
01
114943
LICENSE
TX
Enumeration date
05/31/2007
Last updated
12/07/2020
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