OrganizationActive
Ancora Healthcare LLC
NPI 1518601400 · Assisted Living Facility (Mental Illness) · Spring Lake Park, MN
Provider details
- NPI number
- 1518601400
- Entity type
- Organization
- Primary specialty
- Assisted Living Facility (Mental Illness)Nursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Emmanuel Williams, Administrator(612) 615-0061
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
8017 Van Buren St Ne
Spring Lake Park, MN 55432-2038
Phone: (612) 615-0061
Approximate (ZIP-level) locationGet directions
Mailing address
11050 Creekside Ln
Osseo, MN 55369-2687
Registry dates
- Enumerated
- 2022-04-26
- Last updated
- 2023-03-02
- Certified
- 2023-03-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.