Organization
HICKORY HOUSE RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. THERESA KENNEDY PATTON (DIRECTOR)
(317) 434-5375
Entity
Organization
Contact information
Practice address
5486 W. US HWY 40, GREENFIELD, IN 46140-8830
(317) 434-5375
(317) 434-5378
Mailing address
5486 W. US HWY 40, GREENFIELD, IN 46140-8830
(317) 434-5375
(317) 434-5378
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
1763-0-ASR
IN
Other
Enumeration date
02/02/2017
Last updated
11/09/2017
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