Acacia in Home Care,llc

NPI #1689466302 in Gresham, Oregon

Provider Information

NPI Number: 1689466302
Entity Type: Organization
Organization Name: Acacia in Home Care,llc
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: May 19, 2025
Last Updated: May 19, 2025

Practice Location

Address: 255 NE 23RD ST
City: Gresham
State: Oregon
ZIP Code: 97030-2721
Phone: (617) 642-6470

Authorized Official

Name: IRENE NGEERA
Title: OWNER
Phone: (617) 642-6470

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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