Organization
ROSWELL CYPRESS LLC
Active
Parent organization
CYPRESS SKILLED NURSING LLC
Other names
Roswell Nursing & Rehab 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
1109 GREEN ST, ROSWELL, GA 30075
(770) 998-1802
Mailing address
1109 GREEN ST, ROSWELL, GA 30075-3609
(770) 998-1802
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115422
MEDICARE OSCAR
GA
Enumeration date
12/18/2013
Last updated
01/20/2022
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