NPI 1790981769

Hickory Estates

Organisation Lodging Provider Sumner, IL

Practice location

Address: 310 Otha, Sumner, IL 62466
Phone: (618) 936-2004
Fax: (618) 936-2556
Mailing address: PO Box 164 310 Otha, Sumner, IL 62466-0164

Authorised official

Name: Sheila Kay Hayes
Title: Asst. Adm.
Phone: (618) 936-2004

Registered specialties

Lodging Provider Primary

Other Service Providers Taxonomy 177F00000X Licence 0030510 (IL)

Other Lodging providers in Illinois →

Registry record

NPI: 1790981769
Entity type: Organization
NPI issued: 26 Jun 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.