NPI 1073321022
3900 Llewellyn Avenue Opco LLC
Practice location
- Address
- 3900 Llewellyn Ave, Norfolk, VA 23504-1203
- Phone
- (757) 625-5363
- Fax
- (757) 627-3161
Authorised official
- Name
- Tiffany Hoback
- Title
- Manager
- Phone
- (770) 698-9040
Registered specialties
Skilled Nursing Facility
Primary
Registry record
- NPI
- 1073321022
- Entity type
- Organization
- NPI issued
- 23 Dec 2024
- Record last updated
- 28 Feb 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.