| Amelia Life Care, LLC | |
|
8830 Virginia Street Amelia VA 23002 | |
| (434) 696-2165 | |
| (434) 696-1557 |
| Full Name | Amelia Life Care, LLC |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 8830 Virginia Street, Amelia, Virginia |
| Authorized Official Name and Position | Jill W. Seamans (CFO) |
| Authorized Official Contact | 4346962165 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amelia Life Care, LLC Po Box 70 Victoria VA 23974-0070 Ph: (434) 696-2165 | Amelia Life Care, LLC 8830 Virginia Street Amelia VA 23002 Ph: (434) 696-2165 |
| NPI Number | 1811256787 |
|---|---|
| Provider Enumeration Date | 05/11/2012 |
| Last Update Date | 12/03/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811256787 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (NU) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Virginia) | Primary |