Organization
HAWTHORN GLEN SNF OPCO LLC
Active
Other names
Hawthorn Glen Care Community
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY DEGYANSKY (VP OF OPERATIONS)
(330) 620-7828
Entity
Organization
Contact information
Practice address
5414 HANKINS RD, MIDDLETOWN, OH 45044-9782
(330) 620-7828
Mailing address
5910 LANDERBROOK DR STE 150, MAYFIELD HEIGHTS, OH 44124-6506
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
04/29/2024
Last updated
12/04/2025
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