Organization
OMAHA I BICKFORD COTTAGE, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN FAIRBANKS (EXECUTIVE VP)
(913) 782-3200
Entity
Organization
Contact information
Practice address
11308 BLONDO ST, OMAHA, NE 68164-3822
(402) 491-0400
(402) 445-2412
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
ALF166
NE
Other
Enumeration date
10/06/2011
Last updated
10/06/2011
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