| Anchor Of Hope Llc | |
|
650 Sun Temple Dr Madison AL 35758-8621 | |
| (256) 361-9248 | |
| Not Available |
| Full Name | Anchor Of Hope Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 650 Sun Temple Dr, Madison, Alabama |
| Authorized Official Name and Position | Nicole Nuwayhid (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 2563619248 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anchor Of Hope Llc 240 Ivyleaf Dr Nw Madison AL 35757-5901 Ph: (256) 503-2171 | Anchor Of Hope Llc 650 Sun Temple Dr Madison AL 35758-8621 Ph: (256) 361-9248 |
| NPI Number | 1114695384 |
|---|---|
| Provider Enumeration Date | 09/02/2021 |
| Last Update Date | 09/02/2021 |
| Certification Date | 09/02/2021 |
| Medicare PECOS PAC ID | 0042609398 |
|---|---|
| Medicare Enrollment ID | O20211108002636 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114695384 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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