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A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
320900000X | |||
Intermediate Care Facility, Mentally Retarded |
315P00000X |
| NPI # | 1083073498 |
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| LBN Legal business name | DILLAHUNT ENTERPRISES, LLC | ||||
| Authorized official | NANCY DILLAHUNT - (PROVIDER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 02/12/2016 | ||||
| Last updated | 03/03/2016 - About 10 years ago | ||||
| Identifiers |
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DILLAHUNT ENTERPRISES, LLC