# YOUR HOME GROUP HOME LLC

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

## Provider details

- **NPI number:** 1235019613
- **Authorized official:** CORINDA GOFF BS (ADMIN)
- **Authorized official phone:** (321) 295-1695

## Contact information

- **Practice address:** 331 FULTON ST, DAYTONA BEACH, FL 32114-3021
- **Practice address phone:** (321) 295-1695
- **Mailing address:** 271 CHEROKEE HILL CT, DELAND, FL 32724-7827

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 09/05/2025
- **Last updated:** 09/05/2025