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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