Organization
COPELAND OAKS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AUDREY M MARTIN CPA (ACCOUNTANT)
(330) 938-6126
Entity
Organization
Contact information
Practice address
800 S 15TH ST, SEBRING, OH 44672-2050
(330) 938-6126
(330) 938-7406
Mailing address
800 S 15TH ST, SEBRING, OH 44672-2050
(330) 938-6126
(330) 938-7406
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
1747R
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1747R
REST HOME LICENSE
OH
Enumeration date
12/10/2008
Last updated
01/09/2009
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