Individual provider · Type 1 NPI
Chad R. Hickerson, MAOD
Nursing Home Administrator · Santa Cruz, CA
NPI number
1760982128
Active
Practice location
2250 Soquel Ave
Santa Cruz, CA 95062-1402
Fax (831) 600-2801
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nursing Home Administrator Primary | 376G00000X | None listed |
Nursing Home Administrator: An individual, often licensed by the state, who is responsible for the management of a nursing home.
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About NPI 1760982128
Chad R. Hickerson, MAOD's National Provider Identifier is 1760982128, issued on Feb 12, 2018. The primary taxonomy on file is Nursing Home Administrator (376G00000X), and the practice location is in Santa Cruz, CA. The record was last updated on Jun 16, 2018.