Organization · NPI-2

Anchor Bridge Care, LLC

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · Orlando, FL

NPI number1063365013
StatusActive
Last updated in NPPESFeb 18, 2026

Details

NPI
1063365013
Entity type
Organization (NPI-2)
Legal business name
Anchor Bridge Care, LLC
Organization subpart
No
Enumeration date
Feb 18, 2026
Certification date
Feb 18, 2026
Last updated
Feb 18, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities––Yes

Practice location

7808 Lakeside Woods Dr
Orlando, FL 32810-2927

Phone 407-456-3444

Mailing address

4375 Berry Oak Dr
Apopka, FL 32712-5794

Phone 407-456-3444

Authorized official

Jeanique Michelle Jacques Tucker
Managing Member
4074563444

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