Dillahunt Enterprises, LLC

NPI #1083073498 in Columbia, Missouri

Provider Information

NPI Number: 1083073498
Entity Type: Organization
Organization Name: Dillahunt Enterprises, LLC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Feb 12, 2016
Last Updated: Mar 3, 2016

Practice Location

Address: 4300 ROYAL ABERDEEN ST
City: Columbia
State: Missouri
ZIP Code: 65203-4810
Phone: (573) 445-4408

Authorized Official

Name: MS. NANCY JANE DILLAHUNT
Title: PROVIDER
Phone: (573) 445-4408

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Intermediate Care Facility, Intellectual Disabilities	315P00000X
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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