Organization
BEDROCK AT HOME ORLANDO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BAILEY KLEINKNECHT (BUSINESS OPERATIONS MANAGER)
(407) 505-4602
Entity
Organization
Contact information
Practice address
3800 TOWN CTR BLVD, ORLANDO, FL 32837-6196
(407) 505-4602
(407) 505-4603
Mailing address
3800 TOWN CTR BLVD, ORLANDO, FL 32837-6196
(407) 505-4602
(407) 505-4603
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/06/2024
Last updated
03/19/2024
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