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

Primary practice address
3679 Ford Rd Memphis TN 38109-3614
Phone: (901) 335-7251
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073941993 NPPES
Tennessee MEDICAID H445768

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