| NPI | 1700584372 |
|---|---|
| Doing Business As | COPPER RIDGE HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | JACK PANETH Authorized Official 410-795-8808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2023-02-22 |
| Last Update Date | 2023-09-02 |