Mr. Dwayne Everett Hicks Jr.
Mr. Dwayne Everett Hicks Jr. is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Louisburg, North Carolina. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
1078 Lake Royale 129 Choctaw DrLouisburg, NC 27549
Phone: (252) 425-7746
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Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X |
|---|
Record details
| NPI number | 1821861345 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | November 6, 2023 |
| Last updated in NPPES | November 6, 2023 |
| Certification date | November 6, 2023 |
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