Provider Demographics
NPI:1215226261
Name:CYPRESS OKC OPERATIONS, LLC
Entity Type:Organization
Organization Name:CYPRESS OKC OPERATIONS, LLC
Other - Org Name:CYPRESS SPRINGS ALZHEIMER'S & MEMORY SUPPORT RESIDENCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:MAHAFFEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-286-9500
Mailing Address - Street 1:8300 N MAY AVE
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73120-4500
Mailing Address - Country:US
Mailing Address - Phone:405-286-9500
Mailing Address - Fax:405-286-9522
Practice Address - Street 1:8300 N MAY AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120-4500
Practice Address - Country:US
Practice Address - Phone:405-286-9500
Practice Address - Fax:405-286-9522
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-30
Last Update Date:2011-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)