Provider Demographics
NPI:1639289010
Name:DAYBREAK TRAINING SERVICES
Entity Type:Organization
Organization Name:DAYBREAK TRAINING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:ARNELL
Authorized Official - Last Name:RICHINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-367-6944
Mailing Address - Street 1:599 W CENTER ST
Mailing Address - Street 2:
Mailing Address - City:PLEASANT GROVE
Mailing Address - State:UT
Mailing Address - Zip Code:84062-2252
Mailing Address - Country:US
Mailing Address - Phone:801-785-8935
Mailing Address - Fax:801-785-8937
Practice Address - Street 1:599 W CENTER ST
Practice Address - Street 2:
Practice Address - City:PLEASANT GROVE
Practice Address - State:UT
Practice Address - Zip Code:84062-2252
Practice Address - Country:US
Practice Address - Phone:801-785-8935
Practice Address - Fax:801-785-8937
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT10940302F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization