Provider Demographics
NPI:1568647402
Name:C OPELAND HEALTH SERVICES, INC
Entity Type:Organization
Organization Name:C OPELAND HEALTH SERVICES, INC
Other - Org Name:ACCESSIBLE HEALTH CARE OF SOUTH GA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:ROBIN
Authorized Official - Last Name:COPELAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:229-256-4572
Mailing Address - Street 1:417 RIDGE AVE N
Mailing Address - Street 2:
Mailing Address - City:TIFTON
Mailing Address - State:GA
Mailing Address - Zip Code:31794-4325
Mailing Address - Country:US
Mailing Address - Phone:229-256-4572
Mailing Address - Fax:229-256-4573
Practice Address - Street 1:417 RIDGE AVE N
Practice Address - Street 2:
Practice Address - City:TIFTON
Practice Address - State:GA
Practice Address - Zip Code:31794-4325
Practice Address - Country:US
Practice Address - Phone:229-256-4572
Practice Address - Fax:229-256-4573
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-09
Last Update Date:2008-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA137-R-0006251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health