Organization
DAYBREAK, INC.
Active
Other names
Amicus at Rifleman
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT WOLIN (ATTORNEY)
(713) 646-1327
Entity
Organization
Contact information
Practice address
405 RIFLEMAN TRL, ARLINGTON, TX 76002-2866
(817) 467-3626
Mailing address
4800 OVERTON PLZ STE 440, FORT WORTH, TX 76109-4435
(817) 447-2700
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
001004799
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001004799
—
TX
Enumeration date
02/11/2008
Last updated
05/29/2019
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