1104 Welsh Road Opco, LLC
Skilled Nursing Facility in Philadelphia, PA. Organization (NPI-2).
NPI number1700733748
StatusActive
Last updated in NPPESMar 10, 2026
Details
- NPI
- 1700733748
- Entity type
- Organization (NPI-2)
- Legal business name
- 1104 Welsh Road Opco, LLC
- Organization subpart
- No
- Enumeration date
- Mar 10, 2026
- Certification date
- Mar 10, 2026
- Last updated
- Mar 10, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | – | Yes |
Practice location
1104 Welsh RdPhiladelphia, PA 19115-3730
Phone 323-928-9445
Mailing address
9526 W Pico BlvdLos Angeles, CA 90035-1202
Authorized official
Avrohom Tress
Executive Vice President
3239289445
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