Ronald J Hicken

NPI #1275679953 in Smithton, Missouri

Provider Information

NPI Number: 1275679953
Entity Type: Organization
Organization Name: Ronald J Hicken
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jan 29, 2007
Last Updated: Jun 25, 2008

Practice Location

Address: 32613 VAN DYKE RD
City: Smithton
State: Missouri
ZIP Code: 65350-3630
Phone: (660) 827-3032

Authorized Official

Name: MRS. BELINDA KAY HICKEN
Title: ADMINISTRATOR
Phone: (660) 827-3032

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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