Provider Demographics
NPI:1700260742
Name:ALL AMERICAN HEALTH, LLC
Entity type:Organization
Organization Name:ALL AMERICAN HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TERENCE
Authorized Official - Middle Name:W
Authorized Official - Last Name:CAROSELLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:269-370-8505
Mailing Address - Street 1:19930 FARMINGTON RD
Mailing Address - Street 2:STE A
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48152-1433
Mailing Address - Country:US
Mailing Address - Phone:269-370-8505
Mailing Address - Fax:
Practice Address - Street 1:19930 FARMINGTON RD
Practice Address - Street 2:STE A
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48152-1433
Practice Address - Country:US
Practice Address - Phone:269-370-8505
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-18
Last Update Date:2015-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty