Cypress Creek Residential Care LLC
NPI #1366564676 in Fairdealing, Missouri
Provider Information
- NPI Number
- 1366564676
- Entity Type
- Organization
- Organization Name
- Cypress Creek Residential Care LLC
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Apr 6, 2007
- Last Updated
- Oct 17, 2024
Practice Location
- Address
- 546 RIPLEY BB-1
- City
- Fairdealing
- State
- Missouri
- ZIP Code
- 63939-8003
- Phone
- (573) 351-1221
Authorized Official
- Name
- MS. TRACI WAGNER
- Title
- OWNER
- Phone
- (573) 351-1221
Specialties & Taxonomy Codes
| Specialty |
|---|
| Day Training, Developmentally Disabled Services |
| Respite Care |
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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