CCN 265632
HICKORY MANOR
209 HICKORY STREET, LICKING, MO 65542 · 5736742111 · All MO facilities
For profit - Individual
- Ownership type
- For profit - Individual
- Certified beds
- 60
- Average residents per day
- 37.1
- Provider type
- Medicare and Medicaid
- In a hospital
- N
- Abuse icon
- N
- Special focus status
- –
- First certified
- 1996-04-03
- Chain
- –
- Legal business name
- LICKING NO 1 LLC
Header facts: Provider Information · file NH_ProviderInfo_Aug2026.csv · CMS dataset 4pq5-n9py · last modified 2026-08-01 · shown unmodified
Full record as published
Loading the full record…
Loading dataset index…