Organization
COPPER STATE HOME HEALTH, LLC
Active
Other names
Copper State Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MELLISA MARIE TAYLOR RN (DON ADMINISTRATOR)
(928) 200-9708
Entity
Organization
Contact information
Practice address
996 N BROAD ST STE 7, GLOBE, AZ 85501-2300
(928) 200-9708
(602) 926-2423
Mailing address
996 N BROAD ST STE 7, GLOBE, AZ 85501-2300
(928) 200-9708
(602) 926-2423
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
AZ
Other
Enumeration date
04/14/2015
Last updated
07/21/2022
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