| NPI | 1336907583 |
|---|---|
| Former Legal Business Name | BEDROCK AT HOME NEVADA LLC |
| Entity Type | Organization |
| Authorized Contact | CRYSTAL INDEFENZO Director Of Operations 818-281-3084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2024-03-12 |
| Last Update Date | 2024-03-12 |