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Organization
RONALD J HICKEN
Active
Organization
RONALD J HICKEN
Active
Other names
Parkview Group Home
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BELINDA KAY HICKEN (ADMINISTRATOR)
(660) 827-3032
Entity
Organization
Contact information
Practice address
32613 VAN DYKE RD, SMITHTON, MO 65350-3630
(660) 827-3032
(660) 827-5621
Mailing address
32613 VAN DYKE RD, SMITHTON, MO 65350-3630
(660) 827-3032
(660) 827-5621
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
1531-8325
MO
Other
Enumeration date
01/29/2007
Last updated
06/25/2008
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