| NPI | 1790407856 |
|---|---|
| Doing Business As | HICKS ENTERPRISES |
| Entity Type | Organization |
| Authorized Contact | KEITH A HICKS President 502-644-0116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2022-09-15 |
| Last Update Date | 2022-09-15 |