Organization · Type 2 NPI

Hall of Fame Divine Opco LLC

Skilled Nursing Facility · Canton, OH

NPI number 1831987635 Active

Practice location

2714 13th St NW
Canton, OH 44708-3121

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000XNone listed

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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About NPI 1831987635

Hall of Fame Divine Opco LLC's National Provider Identifier is 1831987635, issued on Apr 30, 2025. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Canton, OH. The record was last updated on Apr 30, 2025.