Organization
TREYMORE, INC.
Active
Other names
Cypress Glen Nursing & Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES W MOORE SR. (OWNER)
(409) 962-0910
Entity
Organization
Contact information
Practice address
7200 9TH AVE, PORT ARTHUR, TX 77642-6405
(409) 729-8701
Mailing address
7200 9TH AVE, PORT ARTHUR, TX 77642-6405
(409) 729-8701
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
112140
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001001453
—
TX
Enumeration date
12/05/2005
Last updated
05/28/2010
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