Organization
GRACE HAVEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHANEKA DALON MORRIS (OWNER)
(386) 847-5414
Entity
Organization
Contact information
Practice address
216 W VOLUSIA AVE, DELAND, FL 32720-6831
(386) 847-5414
Mailing address
216 W VOLUSIA AVE, DELAND, FL 32720-6831
(386) 847-5414
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
39969574
FL
253Z00000X
In Home Supportive Care Agency
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Other
Enumeration date
02/17/2017
Last updated
02/17/2017
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