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Organization

CYPRESS PLACE ASSISTED LIVING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JULIUS E COX (ADMINISTRATOR)
(903) 665-9855
Entity
Organization

Contact information

Practice address
100 W DOUGLAS ST, JEFFERSON, TX 75657-1206
(903) 665-9855
(903) 665-6806
Mailing address
100 W DOUGLAS ST, JEFFERSON, TX 75657-1206
(903) 665-9855
(903) 665-6806

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
117430
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001000877
TX
Enumeration date
10/20/2006
Last updated
06/25/2008
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