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Organization

BREAKING ALL BOUNDARIES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TAWANA DENISE DRAKES (PARTNER)
(937) 369-6430
Entity
Organization

Contact information

Practice address
3138 N MAIN ST, DAYTON, OH 45405-2701
(937) 369-6430
Mailing address
4071 MIDDLEHURST LN, DAYTON, OH 45406-3429
(937) 369-6430

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary

Other

Enumeration date
01/03/2025
Last updated
01/09/2025
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