| NPI | 1871078295 |
|---|---|
| Doing Business As | COPPER RIVER RETIREMENT GROUP |
| Entity Type | Organization |
| Authorized Contact | LA SHAY DUSTIN Managing Member 559-977-4232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2018-10-02 |
| Last Update Date | 2018-10-02 |