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Organization
COPPER COMMUNITIES HOSPICE, LLC
Active
Organization
COPPER COMMUNITIES HOSPICE, LLC
Active
Other names
Copper Communities Palliative Care
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD E BASS (MANAGING PARTNER)
(602) 717-4751
Entity
Organization
Contact information
Practice address
1640 S STAPLEY DR, STE. 245, MESA, AZ 85204-6664
(480) 383-8599
Mailing address
1640 S STAPLEY DR, STE. 245, MESA, AZ 85204-6664
(480) 383-8599
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
NULL
104100000X
Social Worker
—
—
163WP0000X
Pain Management Registered Nurse
—
NULL
163WP0000X
Pain Management Registered Nurse
—
—
208VP0000X
Pain Medicine Physician
Primary
—
NULL
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
09/06/2012
Last updated
08/03/2016
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