Dillahunt Isl

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

8001281 Issued in MO

Legal business name

DILLAHUNT ISL

Practice address

4300 Royal Aberdeen St
Columbia, MO 65203-4810

Phone

(573) 445-4408

Fax

(573) 445-4396

NPI assigned

Mar 15, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Nancy Jane Dillahunt, RN

Title

Owner

Phone

(573) 445-4408

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290384000000",
    "number": "1972637346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 ROYAL ABERDEEN ST",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652034810",
            "telephone_number": "573-445-4408",
            "fax_number": "573-445-4396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 ROYAL ABERDEEN ST",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652034810",
            "telephone_number": "573-445-4408",
            "fax_number": "573-445-4396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DILLAHUNT ISL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2010-11-22",
        "status": "A",
        "authorized_official_last_name": "DILLAHUNT",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-445-4408",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MO",
            "license": "8001281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Lynn Dietiker, M.D.
• Kathryn M Dietz, PA-C
• Nancy Jane Dietz, PHD, RPH
• Jacob Anthony Difatta, MD
• Dillahunt Enterprises, LLC
• Jack Percy Dillender II, LMT
• Caitlyn Renee Dillinger
• Dillon Companies LLC
• Dillon Companies LLC
• Dillon Companies LLC

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Columbia, MO
• Providers in Columbia, MO by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.