Idella Marie Hicks
Idella Marie Hicks is an Assisted Living Facility (Mental Illness) in Inkster, Michigan. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
4183 Wayland CtInkster, MI 48141-2818
Phone: (330) 951-9865
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Specialties & licences
| Assisted Living Facility (Mental Illness) (primary) | Taxonomy 3104A0625X |
|---|
Record details
| NPI number | 1417545252 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 7, 2021 |
| Last updated in NPPES | January 7, 2021 |
| Certification date | January 7, 2021 |
| Mailing address | 4183 Wayland Ct, Inkster, MI 48141-2818 |
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