Amicus At Woodside

LBN: Daybreak, Inc.
Amicus At Woodside is an health care organization with primary practice located at 2213 Woodside Dr , Grand Prairie TX 75052-4719. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Daybreak, Inc. can be contacted via phone (972) 988-9336, or through Wolin, Robert via phone (713) 646-1327.

Contact Information

Primary practice address
2213 Woodside Dr Grand Prairie TX 75052-4719
Phone: (972) 988-9336
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wolin, Robert
Phone: (713) 646-1327

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 001012225 Texas

Profile Details

NPI number 1790963908
LBN Legal business name Daybreak, Inc.
DBA Doing business as Amicus At Woodside
Authorized official Wolin, Robert
Entity Organization
Organization subpart 1 No
Enumeration date Feb 11th, 2008
Last updated May 29th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790963908 NPPES
Texas MEDICAID 001012225

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