OrganizationActive
13075 Blackbird Street Opco, LLC
NPI 1497512693 · Skilled Nursing Facility · Garden Grove, CA
Provider details
- NPI number
- 1497512693
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Authorized official
- Avrohom Tress, Manager of Bold Quail 3 Operations
Practice location
13075 Blackbird St
Garden Grove, CA 92843-2902
Phone: (714) 530-6322
Mailing address
9526 W Pico Blvd
Los Angeles, CA 90035-1202
Registry dates
- Enumerated
- 2024-03-04
- Last updated
- 2024-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.