Organization · Type 2 NPI

Cypress Place Living Center, LLC

Intellectual Disabilities Intermediate Care Facility · Wetumka, OK

NPI number 1215019195 Active

Practice location

204 E 1st St
Wetumka, OK 74883-6041

Fax (405) 452-5154

Mailing address

PO Box 488
Weleetka, OK 74880-0488

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000XNH3212-3212 (OK)

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

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About NPI 1215019195

Cypress Place Living Center, LLC's National Provider Identifier is 1215019195, issued on Oct 19, 2006. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Wetumka, OK. The record was last updated on Aug 22, 2020.