Organization
BICKFORD OF CHAMPLIN, 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
11469 JEFFERSON CT, CHAMPLIN, MN 55316-4532
(763) 235-3600
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
25047
MN
Other
Enumeration date
03/08/2018
Last updated
03/08/2018
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