Organization · Type 2 NPI

Dillahunt Enterprises, LLC

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Columbia, MO

NPI number 1083073498 Active

Practice location

4300 Royal Aberdeen St
Columbia, MO 65203-4810

Call (573) 445-4408 Map

Fax (573) 445-4408

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility 315P00000X093669 (MO)
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone listed

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1083073498

Dillahunt Enterprises, LLC's National Provider Identifier is 1083073498, issued on Feb 12, 2016. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Columbia, MO. The record was last updated on Mar 3, 2016.