Organization · Type 2 NPI
Hicks Enterprises
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Louisville, KY
Practice location
5009 Rex Ln
Louisville, KY 40218-4331
Mailing address
2201 Liverpool Ln
Louisville, KY 40218-2201
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility (Mental Illness) | 3104A0625X | None listed |
| Assisted Living Facility (Behavioral Disturbances) | 3104A0630X | None listed |
| Mental Illness Community Based Residential Treatment Facility | 320800000X | None listed |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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About NPI 1790407856
Hicks Enterprises's National Provider Identifier is 1790407856, issued on Sep 15, 2022. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Louisville, KY. The record was last updated on Sep 15, 2022.