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Organization

COPPER CREEK SL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JORDAN LANGE (VP BUSINESS STRATEGIES)
(507) 251-6356
Entity
Organization

Contact information

Practice address
609 IA-150, WEST UNION, IA 52175
(563) 412-5314
Mailing address
3520 E RIVER RD NE, ROCHESTER, MN 55906-5407

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
11/18/2025
Last updated
11/18/2025
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