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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