# OMAHA I BICKFORD COTTAGE, L.L.C.

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

## Provider details

- **NPI number:** 1821372046
- **Authorized official:** MR. ALAN FAIRBANKS (EXECUTIVE VP)
- **Authorized official phone:** (913) 782-3200

## Contact information

- **Practice address:** 11308 BLONDO ST, OMAHA, NE 68164-3822
- **Practice address phone:** (402) 491-0400
- **Practice address fax:** (402) 445-2412
- **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 | ALF166 | NE | Yes |

## Other

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