Provider Demographics
NPI:1457067068
Name:ALL NATION MENTAL HEALTH CARE LLC
Entity Type:Organization
Organization Name:ALL NATION MENTAL HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:ILUKWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-690-8977
Mailing Address - Street 1:37 GIFFORD RD
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-2361
Mailing Address - Country:US
Mailing Address - Phone:732-690-8977
Mailing Address - Fax:
Practice Address - Street 1:37 GIFFORD RD
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-2361
Practice Address - Country:US
Practice Address - Phone:732-690-8977
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-26
Last Update Date:2023-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)