Organization
EMBASSY LEBANON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAYLEY WILLIAMS (ATTORNEY)
(216) 706-3936
Entity
Organization
Contact information
Practice address
700 MONROE RD, LEBANON, OH 45036-1409
(513) 932-0105
Mailing address
945 BROADWAY, WOODMERE, NY 11598-1733
(516) 869-3700
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1796N
LICENSURE
OH
Enumeration date
03/02/2020
Last updated
03/02/2020
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