Provider Demographics
NPI:1669661666
Name:CYPRESS CARE, INC.
Entity Type:Organization
Organization Name:CYPRESS CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP - CORPORATE COMPLIANCE
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:T
Authorized Official - Last Name:STUART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-730-2412
Mailing Address - Street 1:2736 MEADOW CHURCH ROAD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30097-5236
Mailing Address - Country:US
Mailing Address - Phone:678-730-2412
Mailing Address - Fax:678-730-1008
Practice Address - Street 1:2736 MEADOW CHURCH ROAD
Practice Address - Street 2:SUITE 300
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30097-5236
Practice Address - Country:US
Practice Address - Phone:678-730-2412
Practice Address - Fax:678-730-1008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-16
Last Update Date:2007-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies