Organization
COPPER BASIN HEALTHCARE, INC.
Active
Other names
The Pines Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER L TUELLER (SECRETARY)
(208) 207-2726
Entity
Organization
Contact information
Practice address
6719 E 2ND ST STE A, PRESCOTT VALLEY, AZ 86314-2661
(928) 632-0111
(928) 632-0333
Mailing address
6719 E 2ND ST STE A, PRESCOTT VALLEY, AZ 86314-2661
(928) 632-0111
(928) 632-0333
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
02/08/2017
Last updated
01/16/2025
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