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Organization
COPPER RIDGE NURSING AND REHAB CENTER LLC
Active
Organization
COPPER RIDGE NURSING AND REHAB CENTER LLC
Active
Parent organization
EDURO HEALTHCARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
EDURO HEALTHCARE
Authorized official
DUSTIN MONROE (GENERAL COUNSEL)
(385) 240-6408
Entity
Organization
Contact information
Practice address
3251 NETTIE ST, BUTTE, MT 59701-6531
(801) 601-1450
Mailing address
1376 E 3300 S, SALT LAKE CITY, UT 84106-3069
(801) 601-1450
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261Q00000X
Clinic/Center
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/15/2017
Last updated
10/23/2024
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