Organization
DIVINE CHOICE HOME HEALTH AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FITZROY COULSON (CEO)
(386) 873-2021
Entity
Organization
Contact information
Practice address
1229 BEXLEY CT, DELAND, FL 32720-0846
(386) 215-4299
Mailing address
PO BOX 1013, DELAND, FL 32721-1013
(386) 215-4299
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
01/17/2020
Last updated
03/10/2022
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