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Organization
THE CYPRESS OF RALEIGH CLUB, INC.
Active
Organization
THE CYPRESS OF RALEIGH CLUB, INC.
Active
Other names
The Rosewood Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
SHANE M GABIS (SECRETARY, TREASURER)
(919) 518-8951
Entity
Organization
Contact information
Practice address
8710 CYPRESS CLUB DR, RALEIGH, NC 27615
(919) 870-9007
(919) 518-8970
Mailing address
8801 CYPRESS LAKES DR., RALEIGH, NC 27615-2118
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
345546
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
345546
MEDICARE PTAN
NC
01
—
NH0622
NURSING FACILITY LICENSE
NC
Enumeration date
07/24/2008
Last updated
08/28/2019
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