| Organization Name: | HICKORY HILLS RESIDENTIAL CARE |
| NPI Number: | 1326119553 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOYCE KING (ADMINISTRATOR) |
| Mailing Address: | 935 Spartan Ln Foristell |
| State: | MO US |
| Postal Code: | 633481022 |
| Phone Number: | 6364632323 |
| Fax Number: | |
| NPI Enumeration Date: | 11/10/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 320700000X |
| License Number: | 031689 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Residential Treatment Facilities |
| Taxonomy Classification: | Residential Treatment Facility, Physical Disabilities |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |