# COPPER HEALTH ORO VALLEY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Copper Health Oro Valley
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336561521
- **Authorized official:** GREGORY TERRENCE MCNELLIS (OWNER/MANAGER)
- **Authorized official phone:** (612) 991-9062

## Contact information

- **Practice address:** 1119 E RANCHO VISTOSO BLVD, ORO VALLEY, AZ 85755-9106
- **Practice address phone:** (520) 823-4669
- **Mailing address:** 3602 E GREENWAY RD, SUITE 104, PHOENIX, AZ 85032-4648
- **Mailing address phone:** (602) 368-8203
- **Mailing address fax:** (602) 368-8211

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NCI2725 | AZ | Yes |

## Other

- **Enumeration date:** 01/08/2014
- **Last updated:** 07/07/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | NCI2725 | ARIZONA DEPT. OF HEALTH SERVICES | AZ |