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Organization

BEDROCK AT HOME NEVADA LLC

Active
Other names
Bedrock At Home Nevada LLC
Organization subpart
No

Provider details

NPI number
Authorized official
CRYSTAL INDEFENZO (DIRECTOR OF OPERATIONS)
(818) 281-3084
Entity
Organization

Contact information

Practice address
1700 W HORIZON RIDGE PKWY STE 204, HENDERSON, NV 89012-4840
(702) 779-0147
Mailing address
1700 W HORIZON RIDGE PKWY STE 204, HENDERSON, NV 89012-4840
(702) 779-0147

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
03/12/2024
Last updated
03/12/2024
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