Organization
HICKORY HILLS RESIDENTIAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOYCE KING (ADMINISTRATOR)
(636) 463-2323
Entity
Organization
Contact information
Practice address
935 SPARTAN LN, FORISTELL, MO 63348-1022
(636) 463-2323
Mailing address
935 SPARTAN LN, FORISTELL, MO 63348-1022
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
031689
MO
Other
Enumeration date
11/10/2006
Last updated
08/22/2020
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