Organization
CYPRESS BASIN HOSPICE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ASHLEY JORDAN (EXECUTIVE DIRECTOR)
(903) 577-1510
Entity
Organization
Contact information
Practice address
207 MORGAN ST, MOUNT PLEASANT, TX 75455-5603
(903) 577-1510
(903) 577-9377
Mailing address
PO BOX 544, MOUNT PLEASANT, TX 75456-0544
(903) 577-1510
(903) 577-9377
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
002499
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000206500
—
TX
01
—
002499
STATE LICENSE NUMBER
TX
Enumeration date
02/15/2007
Last updated
10/11/2023
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