17th St Leasing Co LLC

NPI #1538667829 in Canton, Ohio

Provider Information

NPI Number
1538667829
Entity Type
Organization
Organization Name
17th St Leasing Co LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Feb 1, 2018
Last Updated
May 1, 2025

Practice Location

Address
3015 17TH ST NW
City
Canton
State
Ohio
ZIP Code
44708-6004
Phone
(330) 454-6508

Authorized Official

Name
CHARLES STOLTZ
Title
SECRETARY / TREASURER
Phone
(513) 530-1808

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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