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NPI Code Detail

MEDICARE: CYPRESS SQUARE HEALTH CARE ASSOCIATES, LLC

MEDICARE: CYPRESS SQUARE HEALTH CARE ASSOCIATES, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1310400000XAssisted Living FacilityAL7262FL

General Provider Information

NPI Number : 1982641072
Entity Type Code : Organization
Provider Name (Legal Business Name) : CYPRESS SQUARE HEALTH CARE ASSOCIATES, LLC
Provider Business Mailing Address
First Line : 7205 CYPRESS DR
Second Line :
City : FORT MYERS
State : FL
Zip : 33907-2975
Country : US
Telephone Number : 239-278-0136
Fax Number : 239-278-3038
Provider Business Practice Location Address
First Line : 7205 CYPRESS DR
Second Line :
City : FORT MYERS
State : FL
Zip : 33907-2975
Country : US
Telephone Number : 239-278-0136
Fax Number : 239-278-3038
Authorized Official
Title or Position : MANAGER
Name : MS. OLIVIA MICHELLE BATTISTA
Credential :
Telephone Number : 239-278-0136
Provider Enumeration Date : 05/31/2006
Last Update Date : 07/16/2007

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Directions to “CYPRESS SQUARE HEALTH CARE ASSOCIATES, LLC ” Practice Location

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