Organization
DILLAHUNT ISL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NANCY JANE DILLAHUNT RN (OWNER)
(573) 445-4408
Entity
Organization
Contact information
Practice address
4300 ROYAL ABERDEEN ST, COLUMBIA, MO 65203-4810
(573) 445-4408
(573) 445-4396
Mailing address
4300 ROYAL ABERDEEN ST, COLUMBIA, MO 65203-4810
(573) 445-4408
(573) 445-4396
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
8001281
MO
Other
Enumeration date
03/15/2007
Last updated
11/22/2010
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