115 S. PROVIDENCE RD. OPCO, LLC
Organization (NPI-2)
Active
Skilled Nursing Facility
Provider Information
- NPI Number
1477400778- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 115 S PROVIDENCE RD, WALLINGFORD, PA, 190866333
- Phone
- (323) 928-9445
Specialties & Taxonomies
Skilled Nursing Facility
Primary
All Addresses
MAILING
9526 W PICO BLVD
LOS ANGELES, CA, 900351202