Organization
CHANDLER FAIRVIEW PARTNERS LLC
Active
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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