Hall of Fame Divine Opco LLC

NPI #1831987635 in Canton, Ohio

Provider Information

NPI Number
1831987635
Entity Type
Organization
Organization Name
Hall of Fame Divine Opco LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Apr 30, 2025
Last Updated
Apr 30, 2025

Practice Location

Address
2714 13TH ST NW
City
Canton
State
Ohio
ZIP Code
44708-3121
Phone
(330) 620-7828

Authorized Official

Name
JEFFREY DEGYANSKY
Title
VP OF OPERATIONS
Phone
(330) 620-7828

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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