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Dillahunt Enterprises, Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Columbia, Missouri
NPI 1083073498

Dillahunt Enterprises, Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Columbia, MO. Dillahunt Enterprises, Llc practices in Columbia, MO. The NPI Number for Dillahunt Enterprises, Llc is 1083073498 and holds a License No. 093669 (Missouri).

The current practice location address for Dillahunt Enterprises, Llc is 4300 Royal Aberdeen St, Columbia, MO and can be reached out via phone at 573-445-4408 and via fax at 573-445-4408.

Location: 4300 Royal Aberdeen St, Columbia, MO, 65203-4810
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1083073498
Provider Name
Dillahunt Enterprises, Llc
Credential
Provider Entity Type
Organization
Address
4300 Royal Aberdeen St, Columbia, MO, 65203-4810
Phone Number
573-445-4408
Fax Number
573-445-4408
Provider Enumeration Date
02/12/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4300 Royal Aberdeen St
City
Columbia
State
Missouri
Zip
65203-4810
Phone Number
573-445-4408
Fax Number
573-445-4408
person
Provider Business Mailing Address Details
Address
4300 Royal Aberdeen St
City
Columbia
State
Missouri
Zip
65203-4810
Phone Number
573-445-4408
Fax Number
573-445-4408
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
()
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
093669 (Missouri)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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