Organization · Type 2 NPI

Wickshire Fairborn Opco LLC

Assisted Living Facility · Fairborn, OH

NPI number 1982243382 Active

Practice location

2270 Park Hills Drive
Fairborn, OH 45324

Call (937) 343-6208 Map

Fax (937) 754-9830

Mailing address

750 Old Hickory Blvd, Building One Suite 125
Brentwood, TN 37027

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XNone listed

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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About NPI 1982243382

Wickshire Fairborn Opco LLC's National Provider Identifier is 1982243382, issued on Jan 2, 2020. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Fairborn, OH. The record was last updated on Jan 2, 2020.