5 EVERETT TIBBS ROAD OPCO, LLC
Organization (NPI-2)
Active
Skilled Nursing Facility
Provider Information
- NPI Number
1164378485- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 5 EVERETT TIBBS RD, MARLINTON, WV, 249546500
- Phone
- (323) 928-9445
Specialties & Taxonomies
Skilled Nursing Facility
Primary
All Addresses
MAILING
9526 W PICO BLVD
LOS ANGELES, CA, 900351202