Organization
CAPSTONE-CYPRESS OPCO LLC
Active
Other names
Cypress Place
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW MOMAN (PRESIDENT)
(469) 712-6025
Entity
Organization
Contact information
Practice address
100 W DOUGLAS ST, JEFFERSON, TX 75657-1206
(903) 665-9855
(903) 665-6809
Mailing address
100 W DOUGLAS ST, JEFFERSON, TX 75657-1206
(903) 665-9855
(903) 665-6809
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/23/2021
Last updated
05/23/2021
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