Organization
HICKORY ESTATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHEILA KAY HAYES (ASST. ADM.)
(618) 936-2004
Entity
Organization
Contact information
Practice address
310 OTHA, SUMNER, IL 62466
(618) 936-2004
(618) 936-2556
Mailing address
PO BOX 164, 310 OTHA, SUMNER, IL 62466-0164
(618) 936-2004
(618) 936-2556
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
0030510
IL
Other
Enumeration date
06/26/2007
Last updated
08/22/2020
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