Organization
THE CYPRESS OF RALEIGH CLUB, INC.
Active
Other names
The Rosewood Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
SHANE M GABIS (SECRETARY, TREASURER)
(919) 518-8951
Entity
Organization
Contact information
Practice address
8710 CYPRESS CLUB DR, RALEIGH, NC 27615
(919) 870-9007
(919) 518-8970
Mailing address
8801 CYPRESS LAKES DR., RALEIGH, NC 27615-2118
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
345546
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
345546
MEDICARE PTAN
NC
01
—
NH0622
NURSING FACILITY LICENSE
NC
Enumeration date
07/24/2008
Last updated
08/28/2019
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