Provider Demographics
NPI:1073146122
Name:ALL HEALTH CARE AND COMMUNITY RESOURCES LLC
Entity Type:Organization
Organization Name:ALL HEALTH CARE AND COMMUNITY RESOURCES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR / TCM SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:CELIANNY
Authorized Official - Middle Name:
Authorized Official - Last Name:CONCEPCION
Authorized Official - Suffix:
Authorized Official - Credentials:CBHCMS100803
Authorized Official - Phone:305-615-0708
Mailing Address - Street 1:5331 W HILLSBORO BLVD APT 206
Mailing Address - Street 2:
Mailing Address - City:COCONUT CREEK
Mailing Address - State:FL
Mailing Address - Zip Code:33073-4562
Mailing Address - Country:US
Mailing Address - Phone:305-615-0708
Mailing Address - Fax:
Practice Address - Street 1:800 W OAKLAND PARK BLVD STE 213
Practice Address - Street 2:
Practice Address - City:WILTON MANORS
Practice Address - State:FL
Practice Address - Zip Code:33311-1733
Practice Address - Country:US
Practice Address - Phone:305-615-0708
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-18
Last Update Date:2021-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)