Organization
AEGIS HOMEMAKING, COMPANION & CHORE SERVICE OF VOLUSIA COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MCKERN (OWNER)
(518) 331-3733
Entity
Organization
Contact information
Practice address
357 FOGGY LN, PORT ORANGE, FL 32129-7812
(518) 331-3733
Mailing address
357 FOGGY LN, PORT ORANGE, FL 32129-7812
(518) 331-3733
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
234553
FL
251T00000X
PACE Provider Organization
234553
FL
253Z00000X
In Home Supportive Care Agency
Primary
234553
FL
Other
Enumeration date
08/27/2016
Last updated
09/13/2016
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