| NPI Details | |
|---|---|
| NPI | 1063613016 |
| Enumeration Date | 05/29/2007 |
| Last Updated | 07/08/2007 |
| Entity Type | Healthcare Provider |
| Active | Over 10 years ago |
| Authorized Information | |
|---|---|
| Name | EMERITA EMERITA |
| Position | EXECUTIVE DIRECTOR-PRESIDENT |
| Phone | (520) 364-7232 |
| Fax | (520) 364-5322 |
| Practice Location | |
|---|---|
| 757 E 12TH ST DOUGLAS AZ, 85607-1934, US |
|
| Phone | (520) 364-7232 |
| Fax | (520) 364-5322 |
| Business Location | |
|---|---|
| 757 E 12TH ST DOUGLAS AZ, 85607-1934, US |
|
| Phone | (520) 364-7232 |
| Fax | (520) 364-5322 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 261QM0850X |
| License State | |
| License Number | |
| Remove 1063613016 NPI Number | |
According to our database, Cypress Inn Assisted Living Center NPI is 1063613016, taxonomy code is 261QM0850X Cypress Inn Assisted Living Center physically located at 757 E 12th St, Douglas AZ, 85607-1934. NPI Number 1033115704 has the healthcare provider type.
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1063613016 NPI number is provided on an as is basis without warranty of any kind. 1063613016 is maintained by the National Plan & Provider Enumeration System. The contents of Cypress Inn Assisted Living Center are for informational purposes only.
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