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Organization
INDEV SUPPORTED LIVING LLC.
Active
Organization
INDEV SUPPORTED LIVING LLC.
Active
Other names
ACA Communities LLC., InDev
Organization subpart
No
Provider details
NPI number
Authorized official
RICARDO HEROS (CEO)
(901) 682-2022
Entity
Organization
Contact information
Practice address
2675 UNION AVENUE EXT, MEMPHIS, TN 38112-4401
(901) 682-2022
(901) 682-2052
Mailing address
2675 UNION AVENUE EXT, MEMPHIS, TN 38112-4401
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00F91
—
TN
Enumeration date
08/22/2017
Last updated
03/11/2025
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