Cypress Cove Lessee LLC
NPI #1275764961 in Crystal River, Florida
Provider Information
- NPI Number
- 1275764961
- Entity Type
- Organization
- Organization Name
- Cypress Cove Lessee LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jul 29, 2009
- Last Updated
- Jul 29, 2009
Practice Location
- Address
- 700 SE 8TH AVE
- City
- Crystal River
- State
- Florida
- ZIP Code
- 34429-4855
- Phone
- (352) 795-8832
Authorized Official
- Name
- JAMES P. EARLE III
- Title
- PRESIDENT
- Phone
- (615) 255-0009
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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