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Organization

CHANDLER FAIRVIEW PARTNERS LLC

Active
Other names
Copper Creek Inn Memory Care
Organization subpart
No

Provider details

NPI number
Authorized official
MR. EMMETT AARON KOELSCH (OWNER)
(360) 867-1900
Entity
Organization

Contact information

Practice address
2200 WEST FAIRVIEW ST., CHANDLER, AZ 85224
(480) 634-4191
Mailing address
111 MARKET ST NE, STE 200, OLYMPIA, WA 98501
(360) 867-1900
(360) 867-1956

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
311500000X
Alzheimer Center (Dementia Center)
AL8609C
AZ

Other

Enumeration date
01/06/2012
Last updated
12/05/2024
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