Organization
MANOR CARE OF OVERLAND PARK KS LLC
Active
Other names
ManorCare Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY A LAZARUS (VICE PRESIDENT - REIMBURSEMENTS)
(419) 252-5541
Entity
Organization
Contact information
Practice address
5211 W 103RD ST, OVERLAND PARK, KS 66207-3154
(913) 383-2569
(913) 383-2611
Mailing address
333 N SUMMIT ST, ATTN BARRY LAZARUS, TOLEDO, OH 43604-1531
(419) 252-5541
(419) 252-5548
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N-046-031
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200541100A
—
KS
Enumeration date
06/03/2006
Last updated
04/02/2012
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