Organization
ACTIVE ANCHOR HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KWATORIA L BRYANT (CEO)
(478) 832-2421
Entity
Organization
Contact information
Practice address
308 WILMINGTON DR, WARNER ROBINS, GA 31088-9024
(478) 832-2421
Mailing address
PO BOX 10461, WARNER ROBINS, GA 31095-5461
(478) 832-2421
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251F00000X
Home Infusion Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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