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Ronald J Hicken
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Smithton, Missouri
NPI 1275679953

Ronald J Hicken is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Smithton, MO. Ronald J Hicken practices in Smithton, MO. The NPI Number for Ronald J Hicken is 1275679953 and holds a License No. 1531-8325 (Missouri).

The current practice location address for Ronald J Hicken is 32613 Van Dyke Rd, Smithton, MO and can be reached out via phone at 660-827-3032 and via fax at 660-827-5621.

Location: 32613 Van Dyke Rd, Smithton, MO, 65350-3630
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1275679953
Provider Name
Ronald J Hicken
Credential
Provider Entity Type
Organization
Address
32613 Van Dyke Rd, Smithton, MO, 65350-3630
Phone Number
660-827-3032
Fax Number
660-827-5621
Provider Enumeration Date
01/29/2007
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
853704906 05 MO
institution
Provider Business Practice Location Address Details
Address
32613 Van Dyke Rd
City
Smithton
State
Missouri
Zip
65350-3630
Phone Number
660-827-3032
Fax Number
660-827-5621
person
Provider Business Mailing Address Details
Address
32613 Van Dyke Rd
City
Smithton
State
Missouri
Zip
65350-3630
Phone Number
660-827-3032
Fax Number
660-827-5621
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
1531-8325 (Missouri)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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