Organization
JEWISH CENTER FOR AGED
Active
Other names
The Cedars at the JCA
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN BARROW (CONTROLLER)
(314) 434-3330
Entity
Organization
Contact information
Practice address
13190 S OUTER 40, CHESTERFIELD, MO 63017-5917
(314) 434-3330
(314) 392-6286
Mailing address
13190 S OUTER 40, CHESTERFIELD, MO 63017-5917
(314) 434-3330
(314) 392-6286
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
031593
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110925
BLUE CROSS
MO
Enumeration date
10/06/2005
Last updated
09/12/2007
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