Hickory Estates
Hickory Estates is an Intellectual Disabilities Intermediate Care Facility in Sumner, Illinois. Licensed in Illinois. Registered with an NPI since 2008.
- Licensed in
- IL
- In the registry since
- 2008
Practice location Address checks out
310 Otha StSumner, IL 62466-0164
Phone: (618) 936-2004
Fax: (618) 936-2556
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual Disabilities Intermediate Care Facility (primary) | Taxonomy 315P00000X · Licence 0030510 (IL) |
|---|
Record details
| NPI number | 1013182807 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Peter Narish — Administrator · (618) 936-2004 |
| NPI enumerated | April 23, 2008 |
| Last updated in NPPES | April 23, 2008 |
| Mailing address | 310 Otha Street, Sumner, IL 62466 |