Ticknor Enterprises Hico Alf, LLC

NPI #1144638776 in Hico, Texas

Provider Information

NPI Number: 1144638776
Entity Type: Organization
Organization Name: Ticknor Enterprises Hico Alf, LLC
Primary Specialty: Assisted Living Facility
Enumeration Date: Jul 28, 2014
Last Updated: Jul 28, 2014

Practice Location

Address: 100 S. WALNUT
City: Hico
State: Texas
ZIP Code: 76457-0000
Phone: (254) 796-2582

Authorized Official

Name: MR. GREG J TICKNOR
Title: MANAGING MEMBER
Phone: (817) 269-3375

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility	310400000X	Primary

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