Organization
THE COPPERAS HOLLOW, LLC
Active
Other names
Caldwell Operator
Organization subpart
No
Provider details
NPI number
Authorized official
YOSEF MEYSTEL (MANAGER)
(847) 673-6767
Entity
Organization
Contact information
Practice address
343 COUNTRY CLUB DR, CALDWELL, TX 77836-2328
(979) 567-6400
Mailing address
343 COUNTRY CLUB DR, CALDWELL, TX 77836-2328
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/21/2012
Last updated
11/21/2012
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