Provider Demographics
NPI:1437307345
Name:UNVERSAL HEALTH SERVICES OF ANCHOR, L.P.
Entity Type:Organization
Organization Name:UNVERSAL HEALTH SERVICES OF ANCHOR, L.P.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TURNER
Authorized Official - Middle Name:TALIAFERRO
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:678-251-3337
Mailing Address - Street 1:5454 YORKTOWNE DR
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30349-5317
Mailing Address - Country:US
Mailing Address - Phone:678-251-3200
Mailing Address - Fax:
Practice Address - Street 1:5454 YORKTOWNE DR
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30349-5317
Practice Address - Country:US
Practice Address - Phone:678-251-3200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-04
Last Update Date:2008-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMSW004282320800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness