Organization
AVENUE 81 IAOP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL D TRYON CPA (CFO)
(785) 272-1535
Entity
Organization
Contact information
Practice address
8055 METCALF AVE, OVERLAND PARK, KS 66204
(913) 246-3690
Mailing address
3024 SW WANAMAKER RD STE 300, TOPEKA, KS 66614-4498
(785) 272-1535
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/04/2020
Last updated
09/04/2020
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