| NPI | 1083754881 |
|---|---|
| Other Name | HICKORY VILLA |
| Entity Type | Organization |
| Authorized Contact | JULIE CALLENDER Sr. Vice President 719-481-5481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NE ALF080) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2020-08-22 |