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Kdg Operating Company, Llc

Kdg Operating Company, Llc is a health care provider in Jericho, NY. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 7999 N Crescent Blvd, Pennsauken, NJ 08110-1402, US
Practice Location Phone856-488-5557
Practice Location Fax856-488-9523
Legal Business NameKDG OPERATING COMPANY, LLC
Other Organization NameIVYSTONE SENIOR LIVING
Other Organization Name TypeDoing Business As Name
NPI ?1306969829
Entity TypeOrganization
Enumeration Date ? Apr 9, 2007
Last Update Date ? Dec 3, 2018
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Kdg Operating Company, Llc

SpecialtySpecializationLicenseLicense State
Assisted Living Facility 15C000New Jersey

legacy-id-icon Legacy Provider IDs of Kdg Operating Company, Llc

Provider IdIssuer StateIssuer TypeIssuer
0104124New JerseyMedicaid

official-icon Authorized Official of Kdg Operating Company, Llc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Kdg Operating Company, Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Mr. Raymond T. Dioguardi
Authorized Official Title/PositionCOO/CFO
Authorized Official Phone Number516-496-1505