Healthcare Provider Details

I. General information

NPI: 1669385050
Provider Name (Legal Business Name): COPALME SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
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:
Mailing address:
  • Phone: 386-977-6797
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: CHRISTIANA COKER
Title or Position: ADMIN
Credential:
Phone: 386-977-6797