Organization · Type 2 NPI
Hickory Estates of Taylorville, LLC
Assisted Living Facility · Taylorville, IL
NPI number
1235688003
Active
Practice location
1091 E 1500 North Rd
Taylorville, IL 62568-9500
Fax (217) 824-3375
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | None listed |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Another provider at this address
About NPI 1235688003
Hickory Estates of Taylorville, LLC's National Provider Identifier is 1235688003, issued on Sep 22, 2016. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Taylorville, IL. The record was last updated on Sep 22, 2016.