Organization
CRAWFORDSVILLE BICKFORD COTTAGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN FAIRBANKS (EXECUTIVE VP)
(913) 782-3200
Entity
Organization
Contact information
Practice address
100 BICKFORD LN, CRAWFORDSVILLE, IN 47933-2186
(765) 362-2000
(765) 362-2004
Mailing address
13795 S MUR LEN RD, SUITE 301, OLATHE, KS 66062-1675
(913) 782-3200
(913) 782-4851
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
16-003674-1
IN
Other
Enumeration date
11/29/2016
Last updated
11/29/2016
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