- Enrollment id
- O20050225000653
- Enrollment state
- VA
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1205814928
- Multiple npi flag
- N
- Ccn
- 495191
- Associate id
- 8820041163
- Organization name
- RBM OPCO OF BASTIAN LLC
- Doing business as name
- BLAND COUNTY NURSING & REHAB CENTER
- Incorporation date
- 2005-01-21
- Incorporation state
- VA
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 12185 GRAPEFIELD RD
- City
- BASTIAN
- State
- VA
- Zip code
- 243144548