Healthcare Provider Details

I. General information

NPI: 1629989959
Provider Name (Legal Business Name): ANCHOR ALLIANCE FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4171 ROSE MARY DR
STERLING HEIGHTS MI
48310-4588
US

IV. Provider business mailing address

801 W BIG BEAVER RD STE 300
TROY MI
48084-4725
US

V. Phone/Fax

Practice location:
  • Phone: 586-646-0035
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State

VIII. Authorized Official

Name: SHAH NOOR
Title or Position: PRESIDENT
Credential:
Phone: 586-646-0035