Organization · NPI-2
Anchor House LLC
Home Health · Brooklyn Park, MN
NPI number1134880461
StatusActive
Last updated in NPPESJan 8, 2022
Details
- NPI
- 1134880461
- Entity type
- Organization (NPI-2)
- Legal business name
- Anchor House LLC
- Organization subpart
- No
- Enumeration date
- Jan 8, 2022
- Certification date
- Jan 8, 2022
- Last updated
- Jan 8, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
| 253Z00000X | In Home Supportive Care | – | – | |
| 385H00000X | Respite Care | – | – |
Practice location
6292 Century BlvdBrooklyn Park, MN 55429-1031
Phone 763-432-5488
Mailing address
5501 Lakeland Ave N Ste 101cCrystal, MN 55429-3171
Phone 763-843-1469
Authorized official
Omotola Edison-Edebor
Managing Member
6122291012
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