Five Star Overland Park LLC

NPI #1154376515 in Overland Park, Kansas

Provider Information

NPI Number
1154376515
Entity Type
Organization
Organization Name
Five Star Overland Park LLC
Subpart
Yes (part of a larger organization)
Parent Organization
FIVE STAR OVERLAND PARK LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
May 24, 2006
Last Updated
Mar 28, 2019

Practice Location

Address
3501 WEST 95TH ST
State
Kansas
ZIP Code
66206-2063
Phone
(913) 648-4500

Authorized Official

Name
KATHERINE E POTTER
Title
PRESIDENT & CHIEF EXECUTIVE OFFICER
Phone
(617) 796-8387

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility
Skilled Nursing Facility

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Provider Name
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