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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