Organization · Type 2 NPI

30 West Avenue Opco, LLC

Skilled Nursing Facility · Wayne, PA

NPI number 1609722867 Active

Practice location

30 West Ave
Wayne, PA 19087-3322

Call (323) 928-9445 Map

Mailing address

9526 W Pico Blvd
Los Angeles, CA 90035-1202

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	None listed

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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About NPI 1609722867

30 West Avenue Opco, LLC's National Provider Identifier is 1609722867, issued on Mar 9, 2026. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Wayne, PA. The record was last updated on Mar 9, 2026.