Provider Demographics
NPI:1225896996
Name:ANCHORS AWAY GROUP LLC
Entity Type:Organization
Organization Name:ANCHORS AWAY GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:EMMY
Authorized Official - Middle Name:
Authorized Official - Last Name:LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-416-5263
Mailing Address - Street 1:3100 SE FEDERAL HWY # 1010
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994-5531
Mailing Address - Country:US
Mailing Address - Phone:786-416-5263
Mailing Address - Fax:
Practice Address - Street 1:4981 SE GRAHAM DR
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34997-1554
Practice Address - Country:US
Practice Address - Phone:786-416-5263
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-07
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No251E00000XAgenciesHome Health