Omega Dillon
Individual provider Active NPI Day Training/Habilitation Specialist · Columbia, MS
NPI 1104540814 · NPPES record last updated Sep 27, 2022
Key facts
- NPI
- 1104540814
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Day Training/Habilitation Specialist 373H00000X
- Practice address
- 217 Dewey St
Columbia, MS 39429-2751 - Phone
- (601) 736-6799
- NPI assigned
- Sep 27, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Region 12 Commission on Mental Health & Retardation Pine Belt Men | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Day Training/Habilitation Specialist | 373H00000X | Yes |
Addresses
Primary practice location
217 Dewey St
Columbia, MS 39429-2751
Mailing address
PO Box 18679
Hattiesburg, MS 39404-8679
Phone (601) 705-1901
Other providers in Columbia, MS
- David D Daniels
- Eric Daniels
- Charlotte Mary Davis
- Lauren Riley Davis
- Diligent Healthcare, LLC
- Dr Michael S. Zaleski
- Rene F Dungan
- Dynamic Columbia Operating Company LLC
- Kerry M Easterling Sr.
- Nancy F Easterling
All providers in Columbia, MS · Day Training/Habilitation Specialist in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.