NPI | 1700073004 |
---|---|
Doing Business As | HICKORY HOUSE |
Entity Type | Organization |
Authorized Contact | WALTER A LEVONOWICH Vice President Controller 262-257-8888 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: TX 116628) |
Enumeration Date | 2007-10-01 |
Last Update Date | 2007-10-01 |