Organization
ANCORA HEALTHCARE LLC
Active
Organization
ANCORA HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EMMANUEL D WILLIAMS (ADMINISTRATOR)
(612) 615-0061
Entity
Organization
Contact information
Practice address
8017 VAN BUREN ST NE, SPRING LAKE PARK, MN 55432-2038
(612) 615-0061
Mailing address
11050 CREEKSIDE LN, OSSEO, MN 55369-2687
(612) 615-0061
(763) 322-9278
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
04/26/2022
Last updated
03/02/2023
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