Organization
BEDROCK AT HOME VIRGINIA BEACH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTLE KELHOFFER (DIRECTOR OF OPERATIONS)
(757) 916-7350
Entity
Organization
Contact information
Practice address
309 LYNNHAVEN PKWY # 201, VIRGINIA BEACH, VA 23452-7411
(757) 916-7350
Mailing address
309 LYNNHAVEN PKWY # 201, VIRGINIA BEACH, VA 23452-7411
(757) 916-7350
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
253Z00000X
In Home Supportive Care Agency
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
Primary
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
10/25/2023
Last updated
10/25/2023
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