Organization
BEDFORD MEMORIAL HOSPITAL
Active
Other names
Bedford Adult Day Center
Organization subpart
No
Provider details
NPI number
Authorized official
DOUG DAVENPORT (CFO)
(434) 200-4708
Entity
Organization
Contact information
Practice address
1613 OAKWOOD ST, BEDFORD, VA 24523-1213
(540) 224-5512
(540) 224-5507
Mailing address
213 S JEFFERSON ST, ROANOKE, VA 24011-1705
(540) 224-5512
(540) 224-5507
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004948343
—
VA
05
—
008730342
—
VA
Enumeration date
05/04/2006
Last updated
03/25/2021
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