- Enrollment id
- O20150921001233
- Enrollment state
- NY
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1891109823
- Multiple npi flag
- N
- Ccn
- 335626
- Associate id
- 4486961646
- Organization name
- WILLIAMSBURG SERVICES LLC
- Doing business as name
- BEDFORD CENTER FOR NURSING AND REHABILITATION
- Incorporation date
- 2014-08-25
- Incorporation state
- NY
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- BEDFORD CENTER FOR NURSING AND REHABILITATION
- Affiliation entity name
- ALLURE GROUP
- Affiliation entity id
- 734
- Address line 1
- 40 HEYWARD ST
- City
- BROOKLYN
- State
- NY
- Zip code
- 112497823