Provider Demographics
NPI:1134634462
Name:L&A ABSOLUTE CARE LLC
Entity Type:Organization
Organization Name:L&A ABSOLUTE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:APN
Authorized Official - Prefix:MRS
Authorized Official - First Name:ADEBOLA
Authorized Official - Middle Name:S
Authorized Official - Last Name:AJANAKU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-342-5457
Mailing Address - Street 1:1577 RIDGEWAY ST
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-5129
Mailing Address - Country:US
Mailing Address - Phone:973-342-5457
Mailing Address - Fax:
Practice Address - Street 1:50 UNION AVE STE 701
Practice Address - Street 2:
Practice Address - City:IRVINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07111-3292
Practice Address - Country:US
Practice Address - Phone:973-849-6030
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-08
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty