Organization · NPI-2

3900 Llewellyn Avenue Opco LLC

Skilled Nursing Facility · Norfolk, VA

NPI number1073321022
StatusActive
Last updated in NPPESFeb 28, 2025

Details

NPI
1073321022
Entity type
Organization (NPI-2)
Legal business name
3900 Llewellyn Avenue Opco LLC
Organization subpart
No
Enumeration date
Dec 23, 2024
Certification date
Feb 28, 2025
Last updated
Feb 28, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
314000000X Skilled Nursing Facility––Yes

Other names

  • Ghent Health & Rehabilitation (Doing Business As)

Practice location

3900 Llewellyn Ave
Norfolk, VA 23504-1203

Phone 757-625-5363 · Fax 757-627-3161

Mailing address

3900 Llewellyn Ave
Norfolk, VA 23504-1203

Phone 757-625-5363 · Fax 757-627-3161

Authorized official

Tiffany Hoback
Manager
7706989040

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