# GRAND ISLAND BICKFORD COTTAGE, L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720362940
- **Authorized official:** MR. ALAN FAIRBANKS (EXECUTIVE VP)
- **Authorized official phone:** (913) 782-3200

## Contact information

- **Practice address:** 3285 WOODRIDGE BLVD, GRAND ISLAND, NE 68801-7204
- **Practice address phone:** (308) 384-3800
- **Practice address fax:** (308) 384-4549
- **Mailing address:** 13795 S MUR LEN RD, SUITE \#301, OLATHE, KS 66062-1675
- **Mailing address phone:** (913) 782-3200
- **Mailing address fax:** (913) 782-4851

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | ALF072 | NE | Yes |

## Other

- **Enumeration date:** 10/06/2011
- **Last updated:** 10/06/2011