Organization
COPPER RIVER RETIREMENT GROUP, LLC
Active
Other names
Copper River Retirement Group
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE COSTA (MANAGING MEMBER)
(559) 977-4232
Entity
Organization
Contact information
Practice address
272 W EVERGLADE AVE, CLOVIS, CA 93619-3775
(559) 977-4232
Mailing address
PO BOX 27464, FRESNO, CA 93729-7464
(559) 977-4232
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/02/2018
Last updated
09/25/2025
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