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Organization
BEDROCK AT HOME NEW JERSEY LLC
Active
Organization
BEDROCK AT HOME NEW JERSEY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS BANAR (DIRECTOR OF OPERATIONS)
(856) 874-7800
Entity
Organization
Contact information
Practice address
1 HOLTEC DR STE 203, MARLTON, NJ 08053-3402
(856) 874-7800
(908) 955-9419
Mailing address
1 HOLTEC DR STE 203, MARLTON, NJ 08053-3402
(856) 874-7800
(908) 955-9419
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
NULL
163W00000X
Registered Nurse
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
374U00000X
Home Health Aide
—
NULL
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
NULL
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
NULL
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
03/01/2023
Last updated
02/27/2024
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