# WICKSHIRE BLANKENBAKER OPCO, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wickshire Blankenbaker
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275140816
- **Authorized official:** MR. DAN O'KEEFE (CEO)
- **Authorized official phone:** (615) 942-0240

## Contact information

- **Practice address:** 901 BLANKENBAKER PKWY, LOUISVILLE, KY 40243-1884
- **Practice address phone:** (502) 244-4244
- **Mailing address:** 750 OLD HICKORY BLVD, BRENTWOOD, TN 37027-4528
- **Mailing address phone:** (615) 942-0240

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | NULL | Yes |
| 311500000X | Alzheimer Center (Dementia Center) | — | NULL | — |

## Other

- **Enumeration date:** 09/28/2020
- **Last updated:** 09/28/2020
