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Organization
ALLEGIANCE HEALTH SERVICE, INC
Active
Organization
ALLEGIANCE HEALTH SERVICE, INC
Active
Other names
ALLEGIANCE PERSONAL CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EUGINA MANDEVILLE (OWNER)
(336) 254-2560
Entity
Organization
Contact information
Practice address
1104 SUNSET DR, BASSETT, VA 24055-4848
(336) 254-2560
(956) 664-9957
Mailing address
1104 SUNSET DR, BASSETT, VA 24055-4848
(336) 254-2560
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
385H00000X
Respite Care
—
NULL
Other
Enumeration date
06/17/2022
Last updated
10/24/2022
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