Organization
HICKS HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LACIE BROWN (ADMINISTRATOR)
(252) 586-4867
Entity
Organization
Contact information
Practice address
310 EBONY RD, LITTLETON, NC 27850-7933
(252) 586-4867
Mailing address
310 EBONY RD, LITTLETON, NC 27850-7933
(252) 586-4867
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/02/2007
Last updated
08/22/2020
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