Licking No 1 LLC
Licking No 1 LLC is a Skilled Nursing Facility in Licking, Missouri. Licensed in Missouri. Registered with an NPI since 2017.
- Licensed in
- MO
- In the registry since
- 2017
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
209 Hickory StLicking, MO 65542
Phone: (573) 674-2111
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Skilled Nursing Facility (primary) | Taxonomy 314000000X · Licence 046854 (MO) |
|---|
Record details
| NPI number | 1912424607 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Donald Bedell — President · (573) 471-1276 |
| Other names | Hickory Manor |
| NPI enumerated | August 24, 2017 |
| Last updated in NPPES | August 24, 2018 |
| Mailing address | 731 N Main St, Sikeston, MO 63801-2151 |
Other providers in Licking
-
Community Care Center of Licking Inc
209 Hickory St, Licking, MO 65542-9847 · (573) 674-2111