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Organization
EMBASSY SAXONBURG LLC
Active
Organization
EMBASSY SAXONBURG LLC
Active
Other names
Embassy of Saxonburg
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS CICCONE (CHIEF COMPLIANCE OFFICER)
(216) 378-2050
Entity
Organization
Contact information
Practice address
223 PITTSBURGH ST, SAXONBURG, PA 16056-2217
(724) 352-9445
Mailing address
25201 CHAGRIN BLVD STE 190, BEACHWOOD, OH 44122-5633
(216) 378-2050
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
711002
PA DOH
PA
Enumeration date
12/21/2021
Last updated
12/21/2021
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