# THE CYPRESS OF RALEIGH CLUB, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Rosewood Health Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619132024
- **Authorized official:** SHANE M GABIS (SECRETARY, TREASURER)
- **Authorized official phone:** (919) 518-8951

## Contact information

- **Practice address:** 8710 CYPRESS CLUB DR, RALEIGH, NC 27615
- **Practice address phone:** (919) 870-9007
- **Practice address fax:** (919) 518-8970
- **Mailing address:** 8801 CYPRESS LAKES DR., RALEIGH, NC 27615-2118

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 345546 | NC | Yes |

## Other

- **Enumeration date:** 07/24/2008
- **Last updated:** 08/28/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 345546 | MEDICARE PTAN | NC |
| 01 | — | NH0622 | NURSING FACILITY LICENSE | NC |