COPPER RIVER RETIREMENT GROUP LLC NPI 1871078295

NPI Information

COPPER RIVER RETIREMENT GROUP, LLC is an assisted living facility in Fresno, CA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. COPPER RIVER RETIREMENT GROUP, LLC NPI is 1871078295. The provider is registered as an organization entity type.

The provider's business location address is:

1115 E PINEHURST AVE
FRESNO, CA
ZIP 93730-931
Phone: (559) 977-4232
Fax: (559) 326-7891

The provider's authorized official is La Shay Dustin .
The authorized official title is Managing Member and has the following contact phone number (559) 977-4232.

The enumeration date for this NPI number is 10/2/2018 and was last updated on 10/2/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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