Organization
CEDARHURST OF LA VISTA OPERATOR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDRA NOEL RICCI (CORPORATE COUNSEL)
(314) 254-8354
Entity
Organization
Contact information
Practice address
8140 S 97TH PLZ, LA VISTA, NE 68128-7104
(402) 597-0700
(402) 488-0406
Mailing address
300 HUNTER AVE STE 200, SAINT LOUIS, MO 63124-2328
(314) 254-8354
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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