Organization · Type 2 NPI

Shane Hill Divine Opco LLC

Assisted Living Facility · Rockford, OH

NPI number 1629866439 Active

Practice location

10731 State Route 118
Rockford, OH 45882-8947

Mailing address

5915 Landerbrook Dr Ste 350
Mayfield Heights, OH 44124-4063

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XNone listed

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

6 other providers at this address

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About NPI 1629866439

Shane Hill Divine Opco LLC's National Provider Identifier is 1629866439, issued on Apr 30, 2025. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Rockford, OH. The record was last updated on Apr 30, 2025.