# BREVARD AFFORDABLE HOME CARE AGENCY, INC.

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

## Provider details

- **NPI number:** 1568918605
- **Authorized official:** DENA MARIE DEVARNEY ADMINISTRATOR (OWNER AND ADMINISTRATOR)
- **Authorized official phone:** (877) 404-9995

## Contact information

- **Practice address:** 2460 N COURTENAY PKWY STE 103, MERRITT ISLAND, FL 32953-4193
- **Practice address phone:** (877) 404-9995
- **Practice address fax:** (877) 404-9995
- **Mailing address:** 2460 N COURTENAY PKWY STE 103, MERRITT ISLAND, FL 32953-4193
- **Mailing address phone:** (877) 404-9995
- **Mailing address fax:** (877) 404-9995

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 234339 | FL | Yes |

## Other

- **Enumeration date:** 08/29/2016
- **Last updated:** 08/29/2016