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Organization

BICKFORD OF NORTH BRANCH, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALAN FAIRBANKS (EXECUTIVE VP)
(913) 782-3200
Entity
Organization

Contact information

Practice address
38610 14TH AVE, NORTH BRANCH, MN 55056-6093
(651) 674-0068
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
25046
MN

Other

Enumeration date
03/09/2018
Last updated
03/09/2018
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