# CYPRESS AT LAKE PROVIDENCE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cypress at Lake Providence
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346223765
- **Authorized official:** DONALD J. KNOX (CEO)
- **Authorized official phone:** (740) 359-5401

## Contact information

- **Practice address:** 5976 HIGHWAY 65 N, LAKE PROVIDENCE, LA 71254-5235
- **Practice address phone:** (318) 559-2248
- **Practice address fax:** (318) 559-3381
- **Mailing address:** 10401 LINN STATION RD STE 300, LOUISVILLE, KY 40223-3825
- **Mailing address phone:** (270) 336-1050

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 304 | LA | Yes |

## Other

- **Enumeration date:** 11/21/2005
- **Last updated:** 06/10/2026