HICKORY ESTATES is an intermediate care facility mentally retarded in Sumner, IL. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. HICKORY ESTATES NPI is 1013182807. The provider is registered as an organization entity type.
The provider's business location address is:
310 OTHA STREET
SUMNER, IL
ZIP 62466-164
Phone: (618) 936-2004
Fax: (618) 936-2556
The provider's authorized official is Peter Michael Narish .
The authorized official title is Administrator and has the following contact phone number (618) 936-2004.
The enumeration date for this NPI number is 4/23/2008 and was last updated on 4/23/2008.