Organization · Type 2 NPI
Hickory Estates
Intellectual Disabilities Intermediate Care Facility · Sumner, IL
NPI number
1013182807
Active
Practice location
310 Otha Street
Sumner, IL 62466-0164
Fax (618) 936-2556
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 0030510 (IL) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
About NPI 1013182807
Hickory Estates's National Provider Identifier is 1013182807, issued on Apr 23, 2008. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Sumner, IL. The record was last updated on Apr 23, 2008.