Organization
COA HOME CARE, LLC
Active
Other names
COA In Home Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERRI D. KAROL (CHIEF FINANCIAL OFFICER)
(386) 253-4700
Entity
Organization
Contact information
Practice address
420 FENTRESS BLVD, DAYTONA BEACH, FL 32114-1208
(386) 253-4700
(386) 253-6300
Mailing address
420 FENTRESS BLVD, DAYTONA BEACH, FL 32114-1208
(386) 283-4700
(386) 253-6300
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
299994192
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
251E00000X
HOME HEALTH PRIVATE DUTY CARE
FL
Enumeration date
05/20/2013
Last updated
10/02/2020
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