Individual provider · Type 1 NPI
Dwayne Everett Hicks Jr.
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Louisburg, NC
Practice location
1078 Lake Royale, 129 Choctaw Drive
Louisburg, NC 27549
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | None listed |
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.
Other intellectual and/or developmental disabilities residential treatment facility providers in Louisburg
About NPI 1821861345
Dwayne Everett Hicks Jr.'s National Provider Identifier is 1821861345, issued on Nov 6, 2023. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Louisburg, NC. The record was last updated on Nov 6, 2023.