Organization
CYPRESS AT LAKE PROVIDENCE, LLC
Active
Other names
Cypress at Lake Providence
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD J. KNOX (CEO)
(740) 359-5401
Entity
Organization
Contact information
Practice address
5976 HIGHWAY 65 N, LAKE PROVIDENCE, LA 71254-5235
(318) 559-2248
(318) 559-3381
Mailing address
10401 LINN STATION RD STE 300, LOUISVILLE, KY 40223-3825
(270) 336-1050
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
304
LA
Other
Enumeration date
11/21/2005
Last updated
09/02/2025
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