DILLAHUNT ENTERPRISES LLC NPI 1083073498

NPI Information

NPI: 1083073498
Provider Name: DILLAHUNT ENTERPRISES, LLC

Former Legal Business Name: DILLAHUNT ISL

Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
4300 ROYAL ABERDEEN ST
COLUMBIA, MO
ZIP 65203
Phone: (573) 445-4408
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DILLAHUNT ENTERPRISES, LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Columbia, MO. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. DILLAHUNT ENTERPRISES, LLC NPI is 1083073498. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Dillahunt Isl.

The provider's business location address is:

4300 ROYAL ABERDEEN ST
COLUMBIA, MO
ZIP 65203-810
Phone: (573) 445-4408
Fax: (573) 445-4408

The provider's authorized official is Nancy Jane Dillahunt .
The authorized official title is Provider and has the following contact phone number (573) 445-4408.

The enumeration date for this NPI number is 2/12/2016 and was last updated on 3/3/2016.

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	315P00000X	Intermediate Care Facility, Intellectual Disabilities		093669	MISSOURI	No
2	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities				Yes

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: 4/28/2024

NPI Synchronization or Removal

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