Individual
MS. JACQUELINE D COPELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5319 PARRISH ST, PHILADELPHIA, PA 19139-1440
(215) 668-0982
Mailing address
5319 PARRISH ST, PHILADELPHIA, PA 19139-1440
(215) 668-0982
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
822266
PA
Other
Enumeration date
03/23/2020
Last updated
12/22/2020
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