MEDICARE: ANCHOR HEALTHCARE SERVICES

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
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1164268447
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANCHOR HEALTHCARE SERVICES

Provider Business Mailing Address
First Line	:	5644 BELL RD
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36116-4118
Country	:	US
Telephone Number	:	334-207-4668
Fax Number	:

Provider Business Practice Location Address
First Line	:	5644 BELL RD
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36116-4118
Country	:	US
Telephone Number	:	334-207-4668
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CAROLYN POUNDS
Credential	:
Telephone Number	:	334-207-4668

Provider Enumeration Date	:	07/05/2024
Last Update Date	:	07/05/2024

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