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General NPI Number Information
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NPI Number | 1205637998
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Entity Type | Organization
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Legal Business Name | ANCHOR OF LIFE, LLC
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Dates
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Enumeration Date | 03/20/2025
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 355 WATERFALLS DR
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City | FARMINGTON
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State | AR
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Zip | 72730-2807
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Country | US
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Telephone | 479-407-9405
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Fax |
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Provider Business Mailing Address
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Address Line | 355 WATERFALLS DR
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City | FARMINGTON
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State | AR
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Zip | 72730-2807
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ASHLEY NICOLE MORGAN
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Credential |
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Telephone | 479-629-8413
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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