1W
1400 WEST 21ST STREET OPCO, LLC
Skilled Nursing Facility
OIG CLEARNPI VERIFIED
Location
CLOVIS, NM
Licensed since
2026
Rate
—
Federal identifiers
NPI registry number1205782729
Agency details
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameAVROHOM TRESS
TitleEXECUTIVE VICE PRESIDENT
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