| NPI | 1932479946 |
|---|---|
| Doing Business As | DBA COPPER CREEK MEMORY CARE COMMUNITY |
| Entity Type | Organization |
| Authorized Contact | EMMETT AARON KOELSCH Owner 360-867-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311500000X Alzheimer Center (Dementia Center) (Licence: AZ AL8609C) |
| Enumeration Date | 2012-01-06 |
| Last Update Date | 2012-01-06 |