Cypress Creek Residential Care LLC
Cypress Creek Residential Care LLC is a Developmentally Disabled Services Day Training Agency in Fairdealing, Missouri. Licensed in Missouri. Registered with an NPI since 2007.
- Licensed in
- MO
- In the registry since
- 2007
- Specialties on file
- 3
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
546 Ripley BB-1Fairdealing, MO 63939-8003
Phone: (573) 351-1221
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X (MO) |
|---|---|
| Developmentally Disabled Services Day Training Agency | Taxonomy 251C00000X (MO) |
| Respite Care | Taxonomy 385H00000X (MO) |
Record details
| NPI number | 1366564676 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Traci Wagner — Owner · (573) 351-1221 |
| NPI enumerated | April 6, 2007 |
| Last updated in NPPES | October 17, 2024 |
| Certification date | October 17, 2024 |
| Mailing address | 546 Ripley Bb-1, Fairdealing, MO 63939-8003 |
Other providers in Fairdealing
-
Cypress Creek, LLC
Hc 1 Box 313, Fairdealing, MO 63939-9710 · (573) 351-1221
-
Cypress Creek, LLC
Hc 1 Box 313, Fairdealing, MO 63939-9710 · (573) 351-1221