Shane Hill Divine Opco LLC
NPI #1629866439 in Rockford, Ohio
Provider Information
- NPI Number
- 1629866439
- Entity Type
- Organization
- Organization Name
- Shane Hill Divine Opco LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Apr 30, 2025
- Last Updated
- Apr 30, 2025
Practice Location
Authorized Official
- Name
- JEFFREY DEGYANSKY
- Title
- CHIEF OPERATING OFFICER
- Phone
- (330) 620-7828
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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