Organization
ACACIA GLEN HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA WAITITU (CLIENT SERVICES MANAGER)
(978) 846-9740
Entity
Organization
Contact information
Practice address
8214 S 44TH GLN, LAVEEN, AZ 85339-5472
(978) 846-9740
Mailing address
8214 S 44TH GLN, LAVEEN, AZ 85339-5472
(978) 846-9740
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
03/24/2025
Last updated
03/24/2025
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