Dillon, Audrey Dionne
Dillon, Audrey Dionne is an sole proprietor health care provider with primary practice located at 3679 Ford Rd , Memphis TN 38109-3614. She recently has 3 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Assisted Living, Mental Illness, Nursing & Custodial Care Facilities / Assisted Living, Behavioral Disturbances. Nursing & Custodial Care Facilities / Assisted Living, Mental Illness is her primary health care specialty. Dillon, Audrey Dionne can be contacted via phone (901) 335-7251.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing & Custodial Care Facilities / Assisted Living Facility | 310400000X | 1000000013286 | Tennessee |
Nursing & Custodial Care Facilities / Assisted Living, Mental Illness | 3104A0625X | 1000000013286 | Tennessee |
Nursing & Custodial Care Facilities / Assisted Living, Behavioral Disturbances | 3104A0630X | 1000000013286 | Tennessee |
Profile Details
NPI number | 1073941993 |
---|---|
LBN Legal business name | Dillon, Audrey Dionne |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 31st, 2013 |
Last updated | Oct 31st, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1073941993 | NPPES |
Tennessee | MEDICAID | H445768 |
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