Organization
DAYBREAK, INC.
Active
Other names
Amicus at Xavier
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT WOLIN (ATTORNEY)
(713) 646-1327
Entity
Organization
Contact information
Practice address
817 XAVIER DR, ARLINGTON, TX 76001-7502
(817) 467-3731
Mailing address
4800 OVERTON PLZ STE 440, FT WORTH, TX 76109-4435
(817) 447-2700
(817) 447-3033
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
001004796
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001004796
—
TX
Enumeration date
08/23/2006
Last updated
05/29/2019
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