Five Star Overland Park Llc

NPI 1154376515 - Assisted Living Facility - 310400000X

NPI Details
NPI 1154376515
Enumeration Date 05/24/2006
Last Updated 04/22/2016
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name BRUCE J. BRUCE
Position PRESIDENT & CHIEF EXECUTIVE OFFICER
Phone (913) 648-4500
Fax (913) 648-6144
Practice Location
3501 WEST 95TH ST
OVERLAND PARK KS, 66206-2063, US
Phone (913) 648-4500
Fax (913) 648-6144
Business Location
400 CENTRE ST
NEWTON MA, 02458, US
Phone (617) 796-8387
Fax (617) 796-8375
Toxanomy
Taxonomy Code 310400000X
License State Kansas
License Number N046033
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According to our database, Five Star Overland Park Llc NPI is 1154376515, taxonomy code is 310400000X and license number is N046033, license state is located at Kansas. Five Star Overland Park Llc physically located at 3501 West 95th St, Overland Park KS, 66206-2063. NPI Number 1033115704 has the healthcare provider type.

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1154376515 NPI number is provided on an as is basis without warranty of any kind. 1154376515 is maintained by the National Plan & Provider Enumeration System. The contents of Five Star Overland Park Llc are for informational purposes only.