Organization
BICKFORD HOME CARE OF NORTHWEST SUBURBS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN FAIRBANKS (EXECUTIVE VP OF OPS)
(913) 782-3200
Entity
Organization
Contact information
Practice address
820 E TERRA COTTA AVE STE 232, CRYSTAL LAKE, IL 60014-3655
(913) 782-3200
Mailing address
13795 S MUR LEN RD STE 301, OLATHE, KS 66062-1096
(614) 846-6500
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/03/2021
Last updated
11/03/2021
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