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✓ OIG exclusion check passed — not excluded from federal healthcare programs
1N

12997 NETTLES DRIVE OPCO LLC

Skilled Nursing Facility

OIG CLEARNPI VERIFIED
Location
NEWPORT NEWS, VA
Licensed since
2024
Rate
Federal identifiers
NPI registry number1477361418
Agency details
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameTIFFANY HOBACK
TitleMANAGER
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Source: NPI Registry · Last refreshed June 24, 2026

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