Organization
EMBASSY STOW, LLC
Active
Other names
Regent of Stow
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS CICCONE ESQ. (CHIEF COMPLIANCE OFFICER)
(216) 378-2050
Entity
Organization
Contact information
Practice address
3855 FISHCREEK RD, STOW, OH 44224-4305
(833) 783-0573
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
—
2936R
OHIO DEPARTMENT OF HEALTH
OH
Enumeration date
10/15/2021
Last updated
10/15/2021
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