Organization
PINE KNOLL CYPRESS LLC
Active
Parent organization
CYPRESS SKILLED NURSING LLC
Other names
PINE KNOLL NURSING AND REHABILITATION CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
CYPRESS SKILLED NURSING LLC
Authorized official
ISAAC OVITS (CFO)
(845) 694-6055
Entity
Organization
Contact information
Practice address
156 PINE KNOLL DR, CARROLLTON, GA 30117-2451
(770) 832-8243
Mailing address
156 PINE KNOLL DR, CARROLLTON, GA 30117-2451
(770) 832-8243
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/18/2013
Last updated
01/19/2022
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