Organization
BICKFORD OF ROCKY RIVER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN FAIRBANKS (EXECUTIVE VICE PRESIDENT)
(913) 782-3200
Entity
Organization
Contact information
Practice address
21600 DETROIT RD, ROCKY RIVER, OH 44116-2218
(440) 356-9797
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
2190R
OH
Other
Enumeration date
06/08/2018
Last updated
06/08/2018
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