Organization
YOUR HOME GROUP HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORINDA GOFF BS (ADMIN)
(321) 295-1695
Entity
Organization
Contact information
Practice address
331 FULTON ST, DAYTONA BEACH, FL 32114-3021
(321) 295-1695
Mailing address
271 CHEROKEE HILL CT, DELAND, FL 32724-7827
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/05/2025
Last updated
09/05/2025
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