# TREYMORE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cypress Glen Nursing & Rehab
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689658494
- **Authorized official:** MR. JAMES W MOORE SR. (OWNER)
- **Authorized official phone:** (409) 962-0910

## Contact information

- **Practice address:** 7200 9TH AVE, PORT ARTHUR, TX 77642-6405
- **Practice address phone:** (409) 729-8701
- **Mailing address:** 7200 9TH AVE, PORT ARTHUR, TX 77642-6405
- **Mailing address phone:** (409) 729-8701

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 112140 | TX | Yes |

## Other

- **Enumeration date:** 12/05/2005
- **Last updated:** 05/28/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001001453 | — | TX |