OrganizationActive
12997 Nettles Drive Opco LLC
NPI 1477361418 · Skilled Nursing Facility · Newport News, VA
Provider details
- NPI number
- 1477361418
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Authorized official
- Tiffany Hoback, Manager
Practice location
12997 Nettles Dr
Newport News, VA 23602-6913
Phone: (757) 249-8880
Fax: (757) 283-6272
Mailing address
12997 Nettles Dr
Newport News, VA 23602-6913
Registry dates
- Enumerated
- 2024-12-23
- Last updated
- 2025-03-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.