Organization
COPP'S RESIDENTIAL CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY Y COPP (ADMINISTRATOR)
(918) 341-2543
Entity
Organization
Contact information
Practice address
14092 E 500 RD, CLAREMORE, OK 74019-1167
(918) 341-2543
(918) 342-3674
Mailing address
14092 EAST 500 ROAD, CLAREMORE, OK 74019-1167
(918) 341-2543
(918) 342-3674
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
RC6601
OK
Other
Enumeration date
11/13/2009
Last updated
11/13/2009
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