OrganizationActive
115 S. Providence Rd. Opco, LLC
NPI 1477400778 · Skilled Nursing Facility · Wallingford, PA
Provider details
- NPI number
- 1477400778
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Authorized official
- Avrohom Tress, Executive Vice President
Practice location
115 S Providence Rd
Wallingford, PA 19086-6333
Phone: (323) 928-9445
Mailing address
9526 W Pico Blvd
Los Angeles, CA 90035-1202
Registry dates
- Enumerated
- 2026-03-14
- Last updated
- 2026-06-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.