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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
251E00000X
Home Health Agency
Primary
252Y00000X
Early Intervention Provider Agency
253Z00000X
In Home Supportive Care Agency
261QB0400X
Birthing Clinic/Center
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
332B00000X
Durable Medical Equipment & Medical Supplies
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care

Other

Enumeration date
01/28/2022
Last updated
01/28/2022
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