Organization
EMBASSY EUCLID, LLC
Active
Other names
Regent of Euclid
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS CICCONE (CHIEF COMPLIANCE OFFICER)
(216) 378-2050
Entity
Organization
Contact information
Practice address
1 GATEWAY DRIVE, EUCLID, OH 44119-2447
(216) 531-5400
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
—
2416R
LICENSURE
OH
Enumeration date
08/27/2021
Last updated
08/27/2021
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