Organization
NEW MANNA CLG, LLC
Active
Other names
Lake Health Beachwood Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE GALLUCCI (VP CHIEF ACCOUNTING OFFICER)
(440) 382-7894
Entity
Organization
Contact information
Practice address
25501 CHAGRIN BLVD, BEACHWOOD, OH 44122
(844) 746-8537
Mailing address
5105 SOM CENTER RD FL 3, WILLOUGHBY, OH 44094-4203
(440) 953-9600
(440) 350-4503
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
05/09/2018
Last updated
03/23/2026
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