HICKORY ESTATES; NPI #1790981769

Contact Information

HICKORY ESTATES

310 OTHA
SUMNER, IL 62466

Phone: 618-936-2004
Fax: 618-936-2556
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Lodging	177F00000X

Indicates primary specialty

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NPI Profile & details for HICKORY ESTATES

NPI Number 1790981769

LBN Legal business name HICKORY ESTATES

Authorized official SHEILA HAYES - (ASST. ADM.)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/26/2007

Last updated 08/22/2020 - About 6 years ago

Identifiers

License #

0030510

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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HICKORY ESTATES

Contact Information

Specialty

Lodging

NPI Profile & details for HICKORY ESTATES

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