- Enrollment id
- O20210708002976
- Enrollment state
- VA
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1134702921
- Multiple npi flag
- N
- Ccn
- 495358
- Associate id
- 7416359708
- Organization name
- AML OPERATING LLC
- Doing business as name
- AMELIA REHABILITATION AND HEALTHCARE CENTER
- Incorporation date
- 2021-01-11
- Incorporation state
- VA
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- AMELIA REHABILITATION AND HEALTHCARE CENTER
- Affiliation entity name
- YAD HEALTHCARE
- Affiliation entity id
- 640
- Address line 1
- 8830 VIRGINIA ST
- City
- AMELIA
- State
- VA
- Zip code
- 230024826