# DIVINE CHOICE HOME HEALTH AGENCY

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

## Provider details

- **NPI number:** 1649800723
- **Authorized official:** FITZROY COULSON (CEO)
- **Authorized official phone:** (386) 873-2021

## Contact information

- **Practice address:** 1229 BEXLEY CT, DELAND, FL 32720-0846
- **Practice address phone:** (386) 215-4299
- **Mailing address:** PO BOX 1013, DELAND, FL 32721-1013
- **Mailing address phone:** (386) 215-4299

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 372600000X | Adult Companion | — | NULL | — |
| 372600000X | Adult Companion | — | — | — |
| 374U00000X | Home Health Aide | — | NULL | — |
| 374U00000X | Home Health Aide | — | — | — |

## Other

- **Enumeration date:** 01/17/2020
- **Last updated:** 03/10/2022