| NPI | 1154698280 |
|---|---|
| Doing Business As | HICKORY MANOR NURSING AND REHABILITATION CENTER |
| Entity Type | Organization |
| Authorized Contact | CHARLES G GLADNEY Managing Member 318-281-0078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2011-11-17 |
| Last Update Date | 2011-11-17 |