Organization
EMBASSY BROADWAY MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAYLEY B WILLIAMS (ATTORNEY)
(216) 479-6419
Entity
Organization
Contact information
Practice address
16231 BROADWAY AVE, MAPLE HEIGHTS, OH 44137-2526
(216) 662-0551
(216) 662-7754
Mailing address
24579 BROADWAY AVE, OAKWOOD VILLAGE, OH 44146-6338
(440) 439-7976
(440) 232-7113
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
1867N
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2739611
—
OH
Enumeration date
12/23/2008
Last updated
04/01/2015
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