Organization Name: | DAYBREAK-AN ADULT DAY PROGRAM |
NPI Number: | 1104281864 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAULA A LEVY (DIRECTOR) |
Mailing Address: | 404 North Highway 67 Woodland Park |
State: | CO US |
Postal Code: | 80863 |
Phone Number: | 7196873000 |
Fax Number: | 7196873002 |
NPI Enumeration Date: | 12/23/2015 |
NPI Last Update Date: | 12/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 385H00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Respite Care Facility |
Taxonomy Classification: | Respite Care |
Taxonomy Specialization: | |
Taxonomy Definition: |