Provider Demographics
NPI:1275383218
Name:ALL HEALTHCARE CENTER LLC
Entity Type:Organization
Organization Name:ALL HEALTHCARE CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CASE MANAGER SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:CELIANNY
Authorized Official - Middle Name:
Authorized Official - Last Name:CONCEPCION
Authorized Official - Suffix:
Authorized Official - Credentials:CBHCMS
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 1:5237 SUMMERLIN COMMONS BLVD STE 233
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907-2158
Practice Address - Country:US
Practice Address - Phone:305-615-0708
Practice Address - Fax:954-982-2814
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-25
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management