# AMERICAN VISION SEASONS MSP OVERLAND PARK LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Forest Creek Memory Care at Overland Park
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508490822
- **Authorized official:** MR. STEVEN BAE (SUPPORT)
- **Authorized official phone:** (503) 675-3925

## Contact information

- **Practice address:** 12701 PFLUMM RD, OVERLAND PARK, KS 66213-2317
- **Practice address phone:** (913) 490-5035
- **Mailing address:** 560 1ST ST STE 104, LAKE OSWEGO, OR 97034-3273
- **Mailing address phone:** (503) 675-3925

## Taxonomy

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

## Other

- **Enumeration date:** 02/25/2020
- **Last updated:** 02/25/2020
