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Organization
ALLEGIANCE SPECIALTY HOSPITAL OF LITTLE ROCK, LLC
Active
Organization
ALLEGIANCE SPECIALTY HOSPITAL OF LITTLE ROCK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROCK BORDELON (CEO)
(318) 629-5321
Entity
Organization
Contact information
Practice address
11401 INTERSTATE 30 FL 2, LITTLE ROCK, AR 72209-7042
(501) 455-7300
(501) 601-1333
Mailing address
504 TEXAS ST STE 200, SHREVEPORT, LA 71101-3526
(318) 226-2802
(318) 226-8205
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
AR4374
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163089105
—
AR
Enumeration date
09/26/2006
Last updated
05/01/2008
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