| NPI | 1891978847 |
|---|---|
| Doing Business As | COPPER CREEK PLAZA |
| Entity Type | Organization |
| Authorized Contact | ALAN D PETERSON President 817-919-7495 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 117842) |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2007-12-17 |