Organization
KJD INCORPORATED
Active
Other names
THE RIVERVIEW
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEAN DAIGGER (ADMINISTRATOR)
(314) 353-5900
Entity
Organization
Contact information
Practice address
5500 S BROADWAY, SAINT LOUIS, MO 63111-2025
(314) 353-5900
(314) 353-5907
Mailing address
5500 S BROADWAY, SAINT LOUIS, MO 63111-2025
(314) 353-5900
(314) 353-5907
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
031300
MO
314000000X
Skilled Nursing Facility
Primary
031299
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107837106
—
MO
01
—
179678
BLUE CROSS BLUE SHIELD
MO
Enumeration date
06/13/2005
Last updated
05/28/2009
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