Organization
BICKFORD OF MIDDLETOWN, 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
4375 UNION RD, MIDDLETOWN, OH 45005-5241
(937) 550-4911
(937) 550-4920
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
2534R
OH
Other
Enumeration date
11/14/2014
Last updated
11/14/2014
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