Organization
EMBASSY LOGAN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAYLEY WILLIAMS (ATTORNEY)
(216) 706-3936
Entity
Organization
Contact information
Practice address
300 ARLINGTON AVE, LOGAN, OH 43138-1708
(740) 385-2155
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
—
1687N
LICENSURE
OH
Enumeration date
03/02/2020
Last updated
03/02/2020
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