# ALLEGIANCE HEALTH SERVICE, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ALLEGIANCE PERSONAL CARE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275264509
- **Authorized official:** MS. EUGINA MANDEVILLE (OWNER)
- **Authorized official phone:** (336) 254-2560

## Contact information

- **Practice address:** 1104 SUNSET DR, BASSETT, VA 24055-4848
- **Practice address phone:** (336) 254-2560
- **Practice address fax:** (956) 664-9957
- **Mailing address:** 1104 SUNSET DR, BASSETT, VA 24055-4848
- **Mailing address phone:** (336) 254-2560

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 06/17/2022
- **Last updated:** 10/24/2022