Organization
DAYBREAK COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEANNE C PAGE (CHIEF EXECUTIVE OFFICER)
(817) 447-2700
Entity
Organization
Contact information
Practice address
2505 S. I35-WEST, BURLESON, TX 76097-1775
(817) 447-2700
(817) 447-2831
Mailing address
P. O. BOX 1775, BURLESON, TX 76097-1775
(817) 447-2700
(817) 447-2831
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
005539
TX
251E00000X
Home Health Agency
Primary
007725
TX
251E00000X
Home Health Agency
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005539
HCS LICENSE
TX
01
—
007725
HCS LICENSE
TX
Enumeration date
06/21/2006
Last updated
07/30/2007
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