| NPI | 1841864816 |
|---|---|
| Former Legal Business Name | AGING WELL HOME CARE |
| Doing Business As | COPPER CANYON SENIOR CARE INC |
| Entity Type | Organization |
| Authorized Contact | TELECIA COOKE CEO 951-966-5385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2021-05-14 |
| Last Update Date | 2022-09-14 |