MS. AUDREY DIONNE DILLON NPI 1073941993

NPI Information

NPI: 1073941993
Provider Name: MS. AUDREY DIONNE DILLON
Classification: Assisted Living Facility - 3104A0625X
Entity Type: Individual

Specialization: Assisted Living, Mental Illness

Address:
3679 FORD RD
MEMPHIS, TN
ZIP 38109
Phone: (901) 335-7251
Get Directions

MS. Audrey Dionne Dillon is an assisted living and mental illness assisted living facility in Memphis, TN. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. MS. Audrey Dionne Dillon NPI is 1073941993. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3679 FORD RD
MEMPHIS, TN
ZIP 38109-614
Phone: (901) 335-7251

The enumeration date for this NPI number is 10/31/2013 and was last updated on 10/31/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility		1000000013286	TENNESSEE	No
2	3104A0630X	Assisted Living Facility	Assisted Living, Behavioral Disturbances	1000000013286	TENNESSEE	No
3	3104A0625X	Assisted Living Facility	Assisted Living, Mental Illness	1000000013286	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	H445768	MEDICAID	TENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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