Organization
HALL OF FAME RESIDENTIAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA ANN WEBSTER RN (COO)
(234) 714-9320
Entity
Organization
Contact information
Practice address
6691 FREEDOM AVE NW, CANTON, OH 44720-7301
(234) 714-9320
Mailing address
6691 FREEDOM AVE NW, CANTON, OH 44720-7301
(234) 714-9320
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3067345
—
OH
Enumeration date
06/12/2017
Last updated
07/21/2022
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