Dillahunt Isl

NPI #1972637346 in Columbia, Missouri

Provider Information

NPI Number: 1972637346
Entity Type: Organization
Organization Name: Dillahunt Isl
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Mar 15, 2007
Last Updated: Nov 22, 2010

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, RN
Title: OWNER
Phone: (573) 445-4408

Specialties & Taxonomy Codes

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

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