Individual provider · Type 1 NPI

Florence Denise Rainey Hicks

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Columbia, MO

NPI number 1992970107 Active

Practice location

1501 Lambeth Dr
Columbia, MO 65202-2462

Call (573) 219-1414 Map

Fax (573) 256-1915

Mailing address

1024 Vegas Dr
Columbia, MO 65203-1450

Specialties and licenses

Taxonomy	Code	License
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 1992970107

Florence Denise Rainey Hicks's National Provider Identifier is 1992970107, issued on Apr 29, 2008. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Columbia, MO. The record was last updated on Aug 4, 2011.