# GRACE HAVEN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174062525
- **Authorized official:** MS. SHANEKA DALON MORRIS (OWNER)
- **Authorized official phone:** (386) 847-5414

## Contact information

- **Practice address:** 216 W VOLUSIA AVE, DELAND, FL 32720-6831
- **Practice address phone:** (386) 847-5414
- **Mailing address:** 216 W VOLUSIA AVE, DELAND, FL 32720-6831
- **Mailing address phone:** (386) 847-5414

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 39969574 | FL | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |

## Other

- **Enumeration date:** 02/17/2017
- **Last updated:** 02/17/2017