Provider Demographics
NPI:1295810638
Name:ANCHOR LOGISTICS GROUP, INC.
Entity type:Organization
Organization Name:ANCHOR LOGISTICS GROUP, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:R.N. ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:DIANE
Authorized Official - Last Name:BRYAN
Authorized Official - Suffix:
Authorized Official - Credentials:CO/OWNER
Authorized Official - Phone:936-520-9415
Mailing Address - Street 1:18715 GRAND HARBOR POINT
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:TX
Mailing Address - Zip Code:77355-4952
Mailing Address - Country:US
Mailing Address - Phone:936-520-9419
Mailing Address - Fax:936-582-2427
Practice Address - Street 1:18715 GRAND HARBOR POINT
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:TX
Practice Address - Zip Code:77355-4952
Practice Address - Country:US
Practice Address - Phone:936-520-9419
Practice Address - Fax:936-582-2427
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health