Organization
LUMINOUS CARES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. UDOKA JEREMIAH EJIOFOR (PRESIDENT AND PSYCH APN)
(862) 233-2133
Entity
Organization
Contact information
Practice address
134 EVERGREEN PL, EAST ORANGE, NJ 07018-2011
(862) 233-2133
Mailing address
134 EVERGREEN PL, EAST ORANGE, NJ 07018-2011
(862) 233-2133
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
26NJ00374300
NJ
Other
Enumeration date
04/18/2014
Last updated
04/18/2014
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