Provider Demographics
NPI:1679243612
Name:DAYBREAK CASE MANAGEMENT SERVICES, LLC
Entity Type:Organization
Organization Name:DAYBREAK CASE MANAGEMENT SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:LUEVONIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:PAYTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-219-3143
Mailing Address - Street 1:110 HUNTERS GLN
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30215-1914
Mailing Address - Country:US
Mailing Address - Phone:404-219-3143
Mailing Address - Fax:
Practice Address - Street 1:110 HUNTERS GLN
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30215-1914
Practice Address - Country:US
Practice Address - Phone:404-219-3143
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-20
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management