OrganizationActive
5 Everett Tibbs Road Opco, LLC
NPI 1164378485 · Skilled Nursing Facility · Marlinton, WV
Provider details
- NPI number
- 1164378485
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Avrohom Tress, Executive Vice President(323) 928-9445
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
5 Everett Tibbs Rd
Marlinton, WV 24954-6500
Phone: (323) 928-9445
Approximate (ZIP-level) locationGet directions
Mailing address
9526 W Pico Blvd
Los Angeles, CA 90035-1202
Registry dates
- Enumerated
- 2026-03-09
- Last updated
- 2026-03-09
- Certified
- 2026-03-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.