NPI 1114875259
4210 Sabana Grande Avenue SE Opco, LLC
Practice location
- Address
- 4210 Sabana Grande Ave SE, Rio Rancho, NM 87124-1152
- Phone
- (323) 928-9445
- Mailing address
- 9526 W Pico Blvd, Los Angeles, CA 90035-1202
Authorised official
- Name
- Avrohom Tress
- Title
- Executive Vice President
- Phone
- (323) 928-9445
Registered specialties
Skilled Nursing Facility
Primary
Registry record
- NPI
- 1114875259
- Entity type
- Organization
- NPI issued
- 16 Mar 2026
- Record last updated
- 16 Mar 2026
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.