Embassy Of East Mountain LLC
Skilled Nursing Facility in Wilkes Barre, PA. Organization (NPI-2).
NPI number1407608128
StatusActive
Last updated in NPPESApr 4, 2024
Details
- NPI
- 1407608128
- Entity type
- Organization (NPI-2)
- Legal business name
- Embassy Of East Mountain LLC
- Organization subpart
- No
- Enumeration date
- Apr 4, 2024
- Certification date
- Apr 4, 2024
- Last updated
- Apr 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | – | Yes |
Other names
- Embassy Of East Mountain (Doing Business As)
Practice location
101 E Mountain BlvdWilkes Barre, PA 18702-7911
Phone 216-378-2050
Mailing address
25201 Chagrin Blvd Ste 190Beachwood, OH 44122-5633
Authorized official
Nicholas Ciccone
Chief Compliance Officer
2163782050
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