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Organization
HICKS HOUSE OF CARE
Active
Organization
HICKS HOUSE OF CARE
Active
Parent organization
HICKS HOUSE OF CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
HICKS HOUSE OF CARE
Authorized official
MR. DERRICK HICKS (OWNERS)
(336) 681-1653
Entity
Organization
Contact information
Practice address
2611 ZOLA DR, GREENSBORO, NC 27405-2613
(336) 681-1653
Mailing address
2611 ZOLA DR, GREENSBORO, NC 27405-2613
(336) 681-1653
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL-041-1026
NC
Other
Enumeration date
04/05/2012
Last updated
06/26/2017
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