# BICKFORD OF OVERLAND PARK OPCO, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285218172
- **Authorized official:** BRYAN CLEGG (CONTROLLER)
- **Authorized official phone:** (913) 782-3200

## Contact information

- **Practice address:** 10665 BARKLEY ST, OVERLAND PARK, KS 66212-1848
- **Practice address phone:** (913) 642-5400
- **Mailing address:** 13795 S MUR LEN RD STE 301, OLATHE, KS 66062-1096
- **Mailing address phone:** (913) 782-3200
- **Mailing address fax:** (913) 254-4802

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 05/07/2021
- **Last updated:** 05/07/2021