MRS. Florence Denise Rainey Hicks

NPI #1992970107 in Columbia, Missouri

Provider Information

NPI Number: 1992970107
Entity Type: Individual
Name: MRS. Florence Denise Rainey Hicks
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Apr 29, 2008
Last Updated: Aug 4, 2011

Practice Location

Address: 1501 LAMBETH DR
City: Columbia
State: Missouri
ZIP Code: 65202-2462
Phone: (573) 219-1414

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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