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Organization
CYPRESS PLACE LIVING CENTER, LLC
Active
Organization
CYPRESS PLACE LIVING CENTER, LLC
Active
Other names
Adkins, LP dba Cypress Place
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA R SIMMONS (OFFICE MANAGER)
(405) 786-2266
Entity
Organization
Contact information
Practice address
204 E 1ST ST, WETUMKA, OK 74883-6041
(405) 452-3271
(405) 452-5154
Mailing address
PO BOX 488, WELEETKA, OK 74880-0488
(405) 786-2266
(405) 786-2388
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
NH3212-3212
OK
Other
Enumeration date
10/19/2006
Last updated
08/22/2020
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