# AEGIS HOMEMAKING, COMPANION & CHORE SERVICE OF VOLUSIA COUNTY

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

## Provider details

- **NPI number:** 1801342217
- **Authorized official:** LISA MCKERN (OWNER)
- **Authorized official phone:** (518) 331-3733

## Contact information

- **Practice address:** 357 FOGGY LN, PORT ORANGE, FL 32129-7812
- **Practice address phone:** (518) 331-3733
- **Mailing address:** 357 FOGGY LN, PORT ORANGE, FL 32129-7812
- **Mailing address phone:** (518) 331-3733

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 234553 | FL | — |
| 251T00000X | PACE Provider Organization | 234553 | FL | — |
| 253Z00000X | In Home Supportive Care Agency | 234553 | FL | Yes |

## Other

- **Enumeration date:** 08/27/2016
- **Last updated:** 09/13/2016
