115 S. Providence RD Opco, LLC
115 S. Providence RD Opco, LLC is a Skilled Nursing Facility in Wallingford, Pennsylvania. Registered with an NPI since 2026.
- In the registry since
- 2026
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
115 S Providence RdWallingford, PA 19086-6333
Phone: (323) 928-9445
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Skilled Nursing Facility (primary) | Taxonomy 314000000X |
|---|
Record details
| NPI number | 1477400778 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Avrohom Tress — Executive Vice President · (323) 928-9445 |
| NPI enumerated | March 14, 2026 |
| Last updated in NPPES | June 4, 2026 |
| Certification date | June 4, 2026 |
| Mailing address | 9526 W Pico Blvd, Los Angeles, CA 90035-1202 |
Other providers in Wallingford
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115 S Providence Road Operations LLC
115 S Providence Rd, Wallingford, PA 19086-6333 · (610) 444-6350
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115 South Providence Road Opco LLC
115 S Providence Rd, Wallingford, PA 19086-6333 · (610) 565-3232
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Wallingford Nursing and Rehabilitation Center-Wallingford PA, LLC
115 S Providence Rd, Wallingford, PA 19086-6333 · (610) 565-3232