Provider Demographics
NPI:1629489372
Name:ALGERITA HYKES
Entity Type:Organization
Organization Name:ALGERITA HYKES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:QBA
Authorized Official - Prefix:MS
Authorized Official - First Name:ALGERITA
Authorized Official - Middle Name:
Authorized Official - Last Name:HYKES
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:312-363-9110
Mailing Address - Street 1:4344 W CHEYENNE AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89032-2484
Mailing Address - Country:US
Mailing Address - Phone:702-843-6500
Mailing Address - Fax:
Practice Address - Street 1:4344 W CHEYENNE AVE
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89032-2484
Practice Address - Country:US
Practice Address - Phone:702-843-6500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-15
Last Update Date:2014-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health