Cypress Creek, Llc

LBN: Cypress Creek, Llc
Cypress Creek, Llc is an health care organization with primary practice located at Hc 1 Box 313 , Fairdealing MO 63939-9710. The organization recently has 3 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Respite Care Facility / Respite Care. Agencies / Day Training, Developmentally Disabled Services is the primary health care specialty. Cypress Creek, Llc can be contacted via phone (573) 351-1221, or through Wagner, Traci via phone (573) 351-1221.

Contact Information

Primary practice address
Hc 1 Box 313 Fairdealing MO 63939-9710
Phone: (573) 351-1221
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wagner, Traci
Phone: (573) 351-1221

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X Missouri
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X Missouri
Respite Care Facility / Respite Care 385H00000X Missouri

Profile Details

NPI number 1881713212
LBN Legal business name Cypress Creek, Llc
DBA Doing business as
Authorized official Wagner, Traci
Entity Organization
Organization subpart 1 No
Enumeration date Mar 28th, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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