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NPI Code Detail

MEDICARE: ANCHOR HEALTH HARBOR LLC

MEDICARE: ANCHOR HEALTH HARBOR LLC
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
1347E00000XTransportation Broker
2251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1306701230
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANCHOR HEALTH HARBOR LLC
Provider Business Mailing Address
First Line : 78 JOHN MILLER WAY STE 326
Second Line :
City : KEARNY
State : NJ
Zip : 07032-6533
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 78 JOHN MILLER WAY STE 326
Second Line :
City : KEARNY
State : NJ
Zip : 07032-6533
Country : US
Telephone Number : 201-554-4333
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : OLUFEMI ILORI
Credential :
Telephone Number : 201-554-4333
Provider Enumeration Date : 12/23/2025
Last Update Date : 12/23/2025

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Directions to “ANCHOR HEALTH HARBOR LLC ” Practice Location

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