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NPI Code Detail

MEDICARE: THE ANCHORAGE INC.

MEDICARE: THE ANCHORAGE INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1HCSA800049OTHERMDMARYLAND OFFICE OF HEALTH CARE QUALITY

General Provider Information

NPI Number : 1952868762
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE ANCHORAGE INC.
Provider Business Mailing Address
First Line : 3210 WINTER PARK CT
Second Line :
City : UPPER MARLBORO
State : MD
Zip : 20774-7550
Country : US
Telephone Number : 240-917-0560
Fax Number :
Provider Business Practice Location Address
First Line : 3210 WINTER PARK CT
Second Line :
City : UPPER MARLBORO
State : MD
Zip : 20774-7550
Country : US
Telephone Number : 240-917-0560
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : WALE AROMIRE
Credential :
Telephone Number : 240-917-0560
Provider Enumeration Date : 02/28/2019
Last Update Date : 02/28/2019

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