Healthcare Provider Details
I. General information
NPI: 1558278580
Provider Name (Legal Business Name): ANCHOR SUPPORT USA LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4427 NW 112TH AVE
CORAL SPRINGS FL
33065-7224
US
IV. Provider business mailing address
4427 NW 112TH AVE
CORAL SPRINGS FL
33065-7224
US
V. Phone/Fax
- Phone: 954-574-7243
- Fax:
- Phone: 954-574-7243
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 320900000X |
| Taxonomy | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DAVID
ARMAS
JR.
Title or Position: MANAGER
Credential:
Phone: 954-574-7243