JAMES COPELAND
Individual Provider (NPI-1)
Active
Custodial Care Facility, Adult Care Home
Provider Information
- NPI Number
1912798786- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 16557 SPARTAN AVE, CALDWELL, ID, 836075224
- Phone
- (208) 353-1530
Specialties & Taxonomies
Custodial Care Facility, Adult Care Home
Primary License: ID #CFH-5972