| NPI | 1740662790 |
|---|---|
| Doing Business As | COPPER TRACE HEALTH AND LIVING, LLC |
| Entity Type | Organization |
| Authorized Contact | BRANT BUCCIARELLI CEO 317-773-0760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2015-06-26 |
| Last Update Date | 2018-03-09 |