Organization
BEDROCK HCS AT GLENDALE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESTHER TILLIM (BOOKKEEPER)
(732) 328-7499
Entity
Organization
Contact information
Practice address
1300 W SILVER SPRING DR, GLENDALE, WI 53209-4415
(414) 228-8120
Mailing address
WORKSPACES AT BITBEAN C/O ESTHER TILLIM, 1776 AVE OF THE STATES SUITE 302, LAKEWOOD, NJ 08701
(732) 328-7499
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
09/20/2019
Last updated
09/20/2019
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