Pine Knoll Cypress LLC
NPI #1255752226 in Carrollton, Georgia
Provider Information
- NPI Number
- 1255752226
- Entity Type
- Organization
- Organization Name
- Pine Knoll Cypress LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- CYPRESS SKILLED NURSING LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Dec 18, 2013
- Last Updated
- Jan 19, 2022
Practice Location
- Address
- 156 PINE KNOLL DR
- City
- Carrollton
- State
- Georgia
- ZIP Code
- 30117-2451
- Phone
- (770) 832-8243
Authorized Official
- Name
- ISAAC OVITS
- Title
- CFO
- Phone
- (845) 694-6055
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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