WICKSHIRE FAIRBORN OPCO LLC is an assisted living facility in Fairborn, OH. The provider is 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. WICKSHIRE FAIRBORN OPCO LLC NPI is 1982243382. The provider is registered as an organization entity type.
The provider's business location address is:
2270 PARK HILLS DRIVE
FAIRBORN, OH
ZIP 45324
Phone: (937) 343-6208
Fax: (937) 754-9830
The provider's authorized official is Daniel Okeefe .
The authorized official title is Ceo and has the following contact phone number (615) 942-0240.
The CLIA number assigned to this NPI record is 36D2123224 - assisted living facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 1/2/2020 and was last updated on 1/2/2020.