Organization
EMBASSY LYNDHURST, LLC
Active
Other names
Regent of Lyndhurst
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS CICCONE (CHIEF COMPLIANCE OFFICER)
(216) 378-2050
Entity
Organization
Contact information
Practice address
1555 BRAINARD RD, LYNDHURST, OH 44124-3098
(440) 460-1000
Mailing address
25201 CHAGRIN BLVD STE 190, BEACHWOOD, OH 44122-5633
(216) 378-2050
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2089R
LICENSURE
OH
Enumeration date
08/27/2021
Last updated
09/01/2021
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