Organization
813 KELLER LANE OPCO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AVROHOM TRESS (EXECUTIVE VICE PRESIDENT)
(323) 928-9445
Entity
Organization
Contact information
Practice address
813 KELLER LN, TUSCUMBIA, AL 35674-1110
(323) 928-9445
Mailing address
9526 W PICO BLVD, LOS ANGELES, CA 90035-1202
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
03/07/2026
Last updated
03/07/2026
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