Cypress Inn Assisted Living Center | |
757 E 12th St Douglas AZ 85607-1934 | |
(520) 364-7232 | |
(520) 364-5322 |
Full Name | Cypress Inn Assisted Living Center |
---|---|
Speciality | Clinic/center - Adult Mental Health |
Location | 757 E 12th St, Douglas, Arizona |
Authorized Official Name and Position | Emerita Aquino (EXECUTIVE DIRECTOR-PRESIDENT) |
Authorized Official Contact | 5203647232 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Cypress Inn Assisted Living Center 757 E 12th St Douglas AZ 85607-1934 Ph: (520) 364-7232 | Cypress Inn Assisted Living Center 757 E 12th St Douglas AZ 85607-1934 Ph: (520) 364-7232 |
NPI Number | 1063613016 |
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Provider Enumeration Date | 05/29/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063613016 | NPI | - | NPPES |
709719 | Other | AZ | AHCCCS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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