Organization
FIVE STAR OVERLAND PARK LLC
Active
Parent organization
FIVE STAR OVERLAND PARK LLC
Other names
The Forum at Overland Park
Organization subpart
Yes
Provider details
NPI number
Legal business name
FIVE STAR OVERLAND PARK LLC
Authorized official
KATHERINE E POTTER (PRESIDENT & CHIEF EXECUTIVE OFFICER)
(617) 796-8387
Entity
Organization
Contact information
Practice address
3501 WEST 95TH ST, OVERLAND PARK, KS 66206-2063
(913) 648-4500
(913) 648-6144
Mailing address
400 CENTRE ST, NEWTON, MA 02458
(617) 796-8387
(617) 796-8375
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
N046033
KS
314000000X
Skilled Nursing Facility
Primary
N046033
KS
Other
Enumeration date
05/24/2006
Last updated
03/28/2019
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