OrganizationActive
1400 West 21st Street Opco, LLC
NPI 1205782729 · Skilled Nursing Facility · Clovis, NM
Provider details
- NPI number
- 1205782729
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Authorized official
- Avrohom Tress, Executive Vice President
Mailing address
9526 W Pico Blvd
Los Angeles, CA 90035-1202
Registry dates
- Enumerated
- 2026-03-06
- Last updated
- 2026-03-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.