Shunta L Dickerson in Little Rock - Day Training/habilitation Specialist
Shunta L Dickerson - NPI 1316155849
Shunta L Dickerson is a Day Training/habilitation Specialist in Little Rock, Arkansas. Shunta L Dickerson practices all healthcare services and medical treatments related to Day Training/habilitation Specialist. The NPI Number for Shunta L Dickerson is 1316155849. The last update date is 2007-07-08.
Shunta L Dickerson's current location address is 1 Southhaven, Little Rock, Arkansas. You can contact this provider via phone number 5019122061. The mailing address for Shunta L Dickerson is 1 Southhaven, Little Rock, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shunta L Dickerson |
|---|---|
| Address | 1 Southhaven, Little Rock, Arkansas |
| Phone Number | 5019122061 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1316155849 |
|---|---|
| Provider Enumeration Date | 2007-05-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1 Southhaven |
|---|---|
| City | Little Rock |
| State | Arkansas (AR) |
| Post Code | 72209 |
| Phone Number | 5019122061 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Day Training/habilitation Specialist |
|---|---|
| Taxonomy | 373H00000X |
|
Definition: Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. |
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What is the Shunta L Dickerson's 1316155849?
The Shunta L Dickerson's NPI (National Provider Identifier) Number is 1316155849. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Shunta L Dickerson's physical address?
The Shunta L Dickerson is physically located at 1 Southhaven, in the city of Little Rock, AR, with the postal code 72209.
What is the Shunta L Dickerson's area of specialization and corresponding taxonomy classification?
The Shunta L Dickerson's specialty field is Day Training/habilitation Specialist, and it falls under the taxonomy code 373H00000X, which categorizes healthcare providers based on their specialties.
When did Shunta L Dickerson receive its 1316155849 assignment?
The Shunta L Dickerson was assigned its 1316155849 on 2007-05-18, which is the date when this unique identifier was issued to the organization.
When was the information related to Shunta L Dickerson most recently updated or refreshed?
The details pertaining to the Shunta L Dickerson, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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