NPI 1003481086

Capstone-Cypress Opco LLC

Organisation Assisted Living Facility Jefferson, TX

Practice location

Address: 100 W Douglas St, Jefferson, TX 75657-1206
Phone: (903) 665-9855
Fax: (903) 665-6809

Authorised official

Name: Matthew Moman
Title: President
Phone: (469) 712-6025

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1003481086
Entity type: Organization
NPI issued: 23 May 2021
Record last updated: 23 May 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.