Provider Demographics
NPI:1881872414
Name:DAYBREAK REHABILITATION CENTER, INC.
Entity type:Organization
Organization Name:DAYBREAK REHABILITATION CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED AGENT
Authorized Official - Prefix:
Authorized Official - First Name:GWENDOLYN
Authorized Official - Middle Name:A
Authorized Official - Last Name:GIBBS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-818-4443
Mailing Address - Street 1:PO BOX 268
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-0268
Mailing Address - Country:US
Mailing Address - Phone:281-208-2702
Mailing Address - Fax:281-208-8340
Practice Address - Street 1:4630 BRAZOS BEND DR
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-4058
Practice Address - Country:US
Practice Address - Phone:281-208-2702
Practice Address - Fax:281-208-8340
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-06
Last Update Date:2008-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)