Healthcare Provider Details

I. General information

NPI: 1275445488
Provider Name (Legal Business Name): COPALME SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2851 IDLEWEISE DR
DELTONA FL
32738-9531
US

IV. Provider business mailing address

2851 IDLEWEISE DR
DELTONA FL
32738-9531
US

V. Phone/Fax

Practice location:
  • Phone: 386-977-6797
  • Fax: 386-977-6797
Mailing address:
  • Phone: 386-977-6797
  • Fax: 386-977-6797

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: CHRISTIANA CHRISTIANA COKER
Title or Position: ADMINISTRATOR
Credential:
Phone: 386-747-6904