Embassy Park Avenue, LLC
NPI #1760099311 in Meadville, Pennsylvania
Provider Information
- NPI Number
- 1760099311
- Entity Type
- Organization
- Organization Name
- Embassy Park Avenue, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Sep 28, 2020
- Last Updated
- Sep 28, 2020
Practice Location
- Address
- 14714 PARK AVENUE EXT
- City
- Meadville
- State
- Pennsylvania
- ZIP Code
- 16335-9400
- Phone
- (814) 337-4228
Authorized Official
- Name
- GEORGE REPCHICK
- Title
- PRESIDENT OF MANAGER
- Phone
- (216) 378-2050
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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