Organization
HICKORY PINE ASSOCIATES
Active
Other names
Hickory House
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMY LOUISE TRINIDAD (EXEC DIR OPERATIONS)
(805) 484-1115
Entity
Organization
Contact information
Practice address
50 OAK ST, CAMARILLO, CA 93010-7922
(805) 484-1115
(805) 484-9038
Mailing address
PO BOX 3141, CAMARILLO, CA 93011-3141
(805) 484-1115
(508) 484-9038
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
CA
Other
Enumeration date
04/03/2007
Last updated
08/22/2020
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