# EMBASSY SAXONBURG LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Embassy of Saxonburg
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205596061
- **Authorized official:** NICHOLAS CICCONE (CHIEF COMPLIANCE OFFICER)
- **Authorized official phone:** (216) 378-2050

## Contact information

- **Practice address:** 223 PITTSBURGH ST, SAXONBURG, PA 16056-2217
- **Practice address phone:** (724) 352-9445
- **Mailing address:** 25201 CHAGRIN BLVD STE 190, BEACHWOOD, OH 44122-5633
- **Mailing address phone:** (216) 378-2050

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 12/21/2021
- **Last updated:** 12/21/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 711002 | PA DOH | PA |