Organization
KDG OPERATING COMPANY, LLC
Active
Other names
Ivystone Senior Living
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND T. DIOGUARDI (COO/CFO)
(516) 496-1505
Entity
Organization
Contact information
Practice address
7999 N CRESCENT BLVD, PENNSAUKEN, NJ 08110-1402
(856) 488-5557
(856) 488-9523
Mailing address
KAPLAN DEVELOPMENT GROUP, 100 JERICHO QUADRANGLE SUITE 142, JERICHO, NY 11753-2408
(516) 496-1505
(516) 496-1509
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
15C000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0104124
—
NJ
Enumeration date
04/09/2007
Last updated
12/03/2018
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