Organization
TICKNOR ENTERPRISES HICO ALF, LLC
Active
Other names
Hill Country Estates of Hico
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREG J TICKNOR (MANAGING MEMBER)
(817) 269-3375
Entity
Organization
Contact information
Practice address
100 S. WALNUT, HICO, TX 76457-0000
(254) 796-2582
(254) 796-2151
Mailing address
100 S. WALNUT, HICO, TX 76457-0000
(254) 796-2582
(254) 796-2151
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000998
DADS FACID#
TX
Enumeration date
07/28/2014
Last updated
07/28/2014
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