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Organization
ACACIA LIVING, LLC
Active
Organization
ACACIA LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VENDOLYN ASH (PRESIDENT)
(912) 220-7435
Entity
Organization
Contact information
Practice address
7348 ASHLEY SHORES CIR, LAKE WORTH, FL 33467-7614
(912) 220-7435
Mailing address
7348 ASHLEY SHORES CIR, LAKE WORTH, FL 33467-7614
(912) 220-7435
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
NULL
251E00000X
Home Health Agency
Primary
—
NULL
252Y00000X
Early Intervention Provider Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
261QB0400X
Birthing Clinic/Center
—
NULL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
NULL
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
NULL
Other
Enumeration date
01/28/2022
Last updated
01/28/2022
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