Organization
EMBASSY WILLARD LLC
Active
Other names
Embassy of Willard
Organization subpart
No
Provider details
NPI number
Authorized official
PENNY KINICKI (DIRECTOR OF CONTRACTING)
(216) 378-2050
Entity
Organization
Contact information
Practice address
370 E HOWARD ST, WILLARD, OH 44890-1656
(419) 935-0148
Mailing address
25201 CHAGRIN BLVD STE 190, BEACHWOOD, OH 44122-5633
(316) 378-2050
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/13/2023
Last updated
12/13/2023
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