Organization
COPPER STATE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE GREENHALGH RN (OWNER, DIRECTOR)
(360) 305-4766
Entity
Organization
Contact information
Practice address
16852 W NORTHAMPTON RD, SURPRISE, AZ 85374-6891
(602) 614-1958
Mailing address
16852 W NORTHAMPTON RD, SURPRISE, AZ 85374-6891
(602) 614-1958
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/27/2025
Last updated
09/27/2025
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