Organization
EMBASSY MADISON MANAGEMENT, LLC
Active
Other names
Madison Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
HAYLEY B WILLIAMS (ATTORNEY)
(216) 706-3864
Entity
Organization
Contact information
Practice address
7600 S RIDGE RD, MADISON, OH 44057-9746
(440) 428-1492
(440) 428-8698
Mailing address
24579 BROADWAY AVE, OAKWOOD VILLAGE, OH 44146-6338
(440) 658-1458
(440) 232-7113
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
6263
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2990054
—
OH
Enumeration date
11/11/2009
Last updated
12/08/2009
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