Organization
DELL HOUSE OF HOPE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAVEN JOHNSON (MANAGER)
(321) 946-4900
Entity
Organization
Contact information
Practice address
128 ORANGE AVE, DAYTONA BEACH, FL 32114-4310
(689) 254-9120
Mailing address
128 ORANGE AVE, DAYTONA BEACH, FL 32114-4310
(407) 259-2920
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
02/26/2024
Last updated
11/20/2024
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