Organization
ACACIA IN HOME CARE,LLC
Active
Other names
ACACIA IN HOME CARE,LLC
Organization subpart
No
Provider details
NPI number
Authorized official
IRENE NGEERA (OWNER)
(617) 642-6470
Entity
Organization
Contact information
Practice address
255 NE 23RD ST, GRESHAM, OR 97030-2721
(617) 642-6470
Mailing address
255 NE 23RD ST, GRESHAM, OR 97030-2721
(617) 642-6470
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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