Organization
EMBASSY EUCLID, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS CICCONE (CHIEF COMPLIANCE OFFICER)
(216) 378-2050
Entity
Organization
Contact information
Practice address
3 GATEWAY DRIVE, EUCLID, OH 44119-2447
(216) 486-4949
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
—
1890N
LICENSURE
OH
Enumeration date
08/27/2021
Last updated
08/27/2021
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