Organization · Type 2 NPI
Ronald J Hicken
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Smithton, MO
Practice location
32613 Van Dyke Rd
Smithton, MO 65350-3630
Fax (660) 827-5621
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | 1531-8325 (MO) |
Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
About NPI 1275679953
Ronald J Hicken's National Provider Identifier is 1275679953, issued on Jan 29, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Smithton, MO. The record was last updated on Jun 25, 2008.