institution
Cypress Place Living Center, Llc
Intellectual Disabilities Intermediate Care Facility in Wetumka, Oklahoma
NPI 1215019195

Cypress Place Living Center, Llc is a Intellectual Disabilities Intermediate Care Facility based in Weleetka, OK. Cypress Place Living Center, Llc practices in Wetumka, OK. The NPI Number for Cypress Place Living Center, Llc is 1215019195 and holds a License No. NH3212-3212 (Oklahoma).

The current practice location address for Cypress Place Living Center, Llc is 204 E 1St St, Wetumka, OK and can be reached out via phone at 405-452-3271 and via fax at 405-452-5154.

Location: 204 E 1St St, Wetumka, OK, 74880-0488
institution
Provider Profile Details
NPI Number
1215019195
Provider Name
Cypress Place Living Center, Llc
Credential
Provider Entity Type
Organization
Address
204 E 1St St, Wetumka, OK, 74880-0488
Phone Number
405-452-3271
Fax Number
405-452-5154
Provider Enumeration Date
10/19/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
204 E 1St St
City
State
Zip
74883-6041
Phone Number
405-452-3271
Fax Number
405-452-5154
person
Provider Business Mailing Address Details
Address
204 E 1St St
City
State
Zip
74883-6041
Phone Number
405-452-3271
Fax Number
405-452-5154
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
License No.
NH3212-3212 (Oklahoma)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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