Organization
BICKFORD OF MAPLEWOOD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN FAIRBANKS (EXECUTIVE VP)
(913) 782-3200
Entity
Organization
Contact information
Practice address
2300 HAZELWOOD ST, MAPLEWOOD, MN 55109-2668
(651) 777-3316
Mailing address
13795 S MUR LEN RD STE 301, OLATHE, KS 66062-1096
(913) 782-3200
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
25824
MN
Other
Enumeration date
03/09/2018
Last updated
03/09/2018
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